Metro SHAPE 2014 ADULT SURVEY SIX COUNTY DATA BOOK

Transcription

1 Metro SHAPE 2014 ADULT SURVEY SIX COUNTY DATA BOOK

2 ACKNOWLEDGMENTS Metro SHAPE 2014 was a joint project by eight public health departments: City of Bloomington Public Health Division, Carver County Public Health and Environment Division, Dakota County Public Health Department, Hennepin County Public Health, City of Minneapolis Health Department, Scott County Public Health, St. Paul-Ramsey County Public Health Department, and Washington County Department of Public Health and Environment. The Metro SHAPE project staff would like to thank the many individuals, community organizations, and subject matter experts who provided advice and support for the development of Metro SHAPE The project staff would especially like to thank the more than 12,000 residents of the metro region who generously took time to complete the Metro SHAPE 2014 survey. Metro SHAPE 2014 Workgroup Project steering by one or more representatives from each participating health department City of Bloomington Public Health Division Jim Jansen, M.P.H. Amanda Nagy, M.P.H. Carver County Public Health and Environment Division Samantha Downs, M.A. Dakota County Public Health Melanie Countryman, M.P.H. Hennepin County Public Health David C. Johnson, M.P.H. Mei Ding, M.D., M.S. Urban Landreman, M.S., M.B.A. City of Minneapolis Health Department Jared Erdmann, M.P.H. Scott County Public Health Noreen Kleinfehn-Wald, R.N., P.H.N., M.A. St. Paul-Ramsey County Public Health Department SuzAnn Stenso-Velo, M.P.H. Washington County Department of Public Health and Environment Tommi Godwin, M.U.R.P. Project Implementation Administration and operations Joint powers agreement/ fiscal agent St. Paul-Ramsey County Public Health Project Sponsors Local Public Health Directors Bonnie Paulsen, City of Bloomington Laura Reid, Carver County Bonnie Brueshoff, Dakota County Susan Palchick, Hennepin County Gretchen Musicant, City of Minneapolis Lisa Brodsky, Scott County Rina McManus, St. Paul-Ramsey County Lowell Johnson, Washington County Survey operations team Hennepin County Public Health: Community Health Team Mei Ding, M.D., M.S. David C. Johnson, M.P.H. Urban Landreman, M.S., M.B.A. Amy Leite Bennett, M.P.H. Komal Mehrotra, M.H.S., M.S. Meghan Rosenkranz, M.P.H. Emily Thompson, M.P.H., B.S.N. 2 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

3 Primary project advisor Ann Kinney, Ph.D., Minnesota Department of Health Project consultants Don Dillman, Ph.D., Social and Economic Sciences Research Center (SESRC) at Washington State University Virginia Lesser, Dr.P.H., M.S., Oregon State University Survey Research Center Todd Rockwood, Ph.D., School of Public Health, University of Minnesota Sheldon Swaney, B.A., former Hennepin County Public Health staff member Community outreach and promotion Hennepin County Public Libraries Multi-unit housing managers in Minneapolis and suburban Hennepin County Community endorsements Amira Adawe, Saint Paul-Ramsey County Public Health Department Ruth Evangelista, Assumption Catholic Church Clarence Jones, Southside Community Health Services Mao Thao, Saint Paul-Ramsey County Public Health Department Joann Usher, Rainbow Health Initiative Stella Whitney-West, NorthPoint Health and Wellness Center Support staff Laura Majewski, Hennepin County Public Health Department Tamara Rogers, Hennepin County Public Health Department Gregory Sather, Hennepin County Public Health Department Communications and Marketing Howard Epstein, Dakota County Public Health Department Noemi Alcocer, Hennepin County Human Services and Public Health Department Bill Belknap, Hennepin County Public Health Anna Welsch, Hennepin County Public Health Chris Burns, St. Paul-Ramsey County Public Health Department Survey printing and mailing Wilder Research Western Graphics Hennepin County Central Services Mail Center Video production Hennepin County Communications Telephone support Minnesota Department of Human Services Multilanguage Referral Line Volunteers Leah Engleman Tamara Mittelstadt Guillaume Onyeaghala Zahra Sheikh Renae Smith Jayme Young Funding Metro SHAPE 2014 is funded in part by the Minnesota Department of Health s Statewide Health Improvement Program (SHIP). Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 3

4 TABLE OF CONTENTS INTRODUCTION...5 About Metro SHAPE...5 SURVEY DESIGN AND METHODOLOGY...5 RESULTS Overall Health...10 General health...11 Chronic diseases and conditions...16 Weight and obesity...24 Limitations and disabilities...27 Access to Health Care...31 Health insurance coverage...32 Unmet or delayed care need...35 Usual source and place of care...37 Prescription medication use...39 Preventive care...41 Dental care...47 Healthy Lifestyles and Behaviors...49 Fruit and vegetable intake...50 Eating breakfast...53 Beverage intake...54 Nutrition and beverage summary measure...60 Physical activity and exercise...61 Screen time...67 Cigarette and other tobacco use...70 Environmental tobacco exposure...74 Alcohol use...76 How You Feel...85 Depression and anxiety...86 Non-specifi c psychological distress...90 Social-Environmental Factors...97 Community involvement and social connectedness...98 Neighborhood walkability Community cohesion and neighborhood safety Discrimination Food and housing security Number of times moved Sexual orientation and identity APPENDIX A How to read the table B Characteristics C Survey Instrument D Technical Notes E Weighting Methodology REFERENCES INDEX Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

5 INTRODUCTION All local public health agencies in Minnesota share a common mission: to create a healthy future for their residents through public health assessment, policy development and assurance. These agencies are required by state law to conduct a community health assessment and develop action plans every fi ve years. The Statewide Health Improvement Program (SHIP) also emphasizes the need for assessment and requires a portion of local public health funding to be allocated for surveillance regarding physical activity, nutrition and tobacco use. Local public health surveillance data have been used in planning, programming and policy development in a range of government, community and health organizations. About Metro SHAPE The 2014 Metro Survey of the Health of All the Population and the Environment, or Metro SHAPE 2014 is a regional, coordinated public health surveillance effort in the metro region of Minnesota. The project was initiated in 2012 to provide countyspecifi c data on health risk behaviors and the overall health status of adult residents in six metro area counties - Carver, Dakota, Hennepin, Ramsey, Scott, and Washington and three metro area cities Bloomington, Minneapolis, and St. Paul. SURVEY DESIGN AND METHODOLOGY Metro SHAPE 2014 collected information on adults through a mixed-mode online and mail survey sent to randomly selected households in six counties in the Twin Cities metro area. The online component was developed using Qualtrics 1, an online survey software program. The Hennepin County Public Health oversaw the data collection effort, which was supported by a contracted vendor, Wilder Research. Metro SHAPE 2014 was a joint project with eight local public health agencies. Each participating agency had its desired data reporting area(s), and each had an expected number of completed surveys for reporting. Table 1 describes the 17 primary reporting areas which comprised the primary sampling areas for this project. Four of the primary sampling areas were in the city of Minneapolis, seven were in suburban Hennepin County including the city of Bloomington, two were in Ramsey County, and one each for Carver, Dakota, Scott, and Washington Counties as shown in the Figure 1. Figure 1. Metro SHAPE 2014 Primary Sampling Areas Oversampled vs Non-Oversampled Areas Six-County Metro Area Metro SHAPE 2014 was made possible in part through funding from the Statewide Health Improvement Program (SHIP) of the Minnesota Department of Health (MDH). SHIP aims to improve the health of Minnesotans by increasing physical activity, improving nutrition and reducing the number of people who use tobacco or are exposed to it. SHIP has awarded grants to local community health boards, including the eight jurisdictions involved in this survey, to implement these strategies. County boundary Primary sampling area Oversampled area Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 5

6 Most of the primary sampling areas were divided into regular and oversampled areas for a total 32 sampling strata. The only two exceptions were North Minneapolis and west-suburban outer-ring Hennepin County, each of which was sampled entirely at a single rate. The regular and oversampled areas were developed to increase sampling effi ciency to meet the goal of the total number of completed surveys per reporting area, and to increase the chance for those populations that are usually under-represented in sampling to be selected. The oversampled areas were census tracts with 25 percent or more of individuals below 200% Federal Poverty Level or 20 percent or more of heads of household were people of color. Local and national surveys have demonstrated that these populations are less likely to respond. The American Community Survey 5-year data and 2010 Census data were used to identify which census tracts had higher densities of low-income residents and people of color for oversampling. Table 1. Metro SHAPE 2014 Participating ncies Project participating agencies The residential addresses in the U.S. Postal Service s full Delivery Sequence File (DSF) were procured from Quad/Graphics and served as the sampling frame for this project. The DSF was current as of August 6, All addresses were geocoded to one of the 32 Metro SHAPE primary geographic sampling strata. The sample selection included two stages of random sampling. First was to randomly select households, where the stratifi ed disproportionate sampling method was used. The sampling proportion for each sampling strata was determined using the following factors: The goal set of anticipated completed surveys for each reporting area; The anticipated response rates for the regular and oversampled census tracts within each reporting area higher for regular census tracts, lower for oversampled tracts; and The anticipated vacancy rate for each reporting area. Number of reporting areas (17 total) Expected survey completes Carver County Public Health and Environment Division Dakota County Public Health Hennepin County Public Health City of Minneapolis Health Department 4 2,800 City of Bloomington Public Health Division St. Paul-Ramsey County Public Health Department 2 1,000 Scott County Public Health Washington County Department of Public Health and Environment Total 17 10,000 6 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

7 The households were randomly selected from each of the sampling stratum according to the sampling fractions described above. A total of 58,486 households (excluding group homes) were randomly selected. The second stage of random sampling was to randomly select adults within the household. This was accomplished by asking the adult with the next birthday to complete the survey. The survey methodology was drawn from existing literature supportive of address-based mail surveys with a push-to-web option. This web + mail methodology, or mailing a request to complete the survey online followed by a later request to respond by mail, has been shown to obtain response rates slightly lower compared to mail-only methods 2. However, web + mail methodology has been shown to encourage respondents to complete the survey online, which translates into cost savings by reducing printing and mailing costs, as well as costs associated with processing completed paper surveys. The primary contact procedure involved 5 mailings to selected households. Some households in lower-response geographies received a sixth and seventh mailing. Those who responded before the next mailing were removed from subsequent mailings. A small number of households were also removed from subsequent mailings upon their request. 1. Mailing 1 a pre-notification postcard notifying the household that they were selected to participate. 2. Mailing 2 a letter describing the project and instructing the resident adult with the next birthday to take the survey online using the included ID and password. 3. Mailing 3 a postcard thanking the households who had already completed the survey and asking those who had not completed the survey to do so. 4. Mailing 4 a letter describing the project and instructing the resident adult with the next birthday to take the survey online using the included ID and password. 5. Mailing 5 a letter offering the resident adult with the next birthday the option of taking the survey using the enclosed written version along with a postage-paid return envelope. 6. Mailing 6 a postcard was mailed to 6,649 households in selected geographic areas within Hennepin County that had low survey response. The postcard included a photo and testimonial of a manager of a community clinic in those areas urging people to complete and return the survey. 7. Mailing 7 a final letter was mailed to 8,037 households in selected geographic areas with low response rates. The letter offered the resident adult with the next birthday the option of taking the survey using the enclosed written version along with a postage-paid return envelope. Survey Response Rate The Metro SHAPE 2014 survey was administered between September 2014 and April Of the 12,794 surveys completed, 6,192 were completed by mail mode, and 6,602 online. Of those, 227 were dropped due to missing data, and 321 were dropped because they were duplicates. The standard outcome formula from the American Association of Public Opinion Researchers (AAPOR) for computing response rates (formula RR4) was used to determine the survey response rate for Metro SHAPE The response rate was calculated as 22.0 percent. Finally, 218 surveys completed by young adults age 18 to 24 were dropped due to a very low response among that age group. This resulted in 12,028 surveys in the fi nal research fi le. Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 7

8 Weighting of the sample data There were two steps in the survey weighting process: First, equal probability weighting was used to adjust for the probability of selection of an address in the survey sample and the number of adults in the household. This technique adjusted for the fact that different proportions of households were selected to participate in each survey sampling area, and higher proportions of households were selected in over-sampled areas. In addition, because only one adult per household was surveyed, respondents in larger households had a smaller probability of selection than respondents in smaller households. For example, an adult in a single-adult household had 100% chance of being selected, whereas a person in a two-adult household had only a 50% chance. Second, post-stratifi cation weighting was used to adjust for key demographics between survey respondents and the general population. Poststratifi cation weighting adjusted the demographic distribution of those who participated in the survey to refl ect the age and gender for 17 primary reporting areas, and race/ethnicity by 4 larger, combined geographies, including Minneapolis, Saint Paul, suburban Hennepin County, and the remaining reporting areas of suburban Ramsey County, Carver County, Dakota County, Scott County, Washington, as guided by the sample distribution. The racial/ethnic post-stratifi cation weighting included four groups: black or African American (non-hispanic), Asian (non-hispanic), Hispanic of any race, and all other races (non- Hispanic). Survey respondents were more likely to be female, older, and white as compared to the overall population. All weighting factors were multiplied together to produce the fi nal analysis weight for each completed survey. Limitations and potential sources of bias to the survey results The fi ndings in this report are subject to various limitations, such as low response rate, self-selection bias, and non-response bias. In addition, one cannot directly compare the results listed in the Metro SHAPE 2014 data book with previous SHAPE or Metro Adult Health Survey data books. One reason is because previous data books reported the results for adults aged 18 and older whereas the Metro SHAPE 2014 data book reports the results for adults aged 25 and older. For assistance in interpreting these results, please contact your respective jurisdiction listed below. Table 2. Metro SHAPE 2014 ncy Contact Information ncy Website Phone Carver County Public Health and Environment Bloomington Public Health Division Dakota County Public Health Department Hennepin County Public Health Minneapolis Health Department St. Paul Ramsey County Public Health Scott County Public Health Washington County Public Health & Environment Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

9 Metro SHAPE 2014 Overall Health

10 In TABLE 1 Overall Health general, would you say your health is...? Size Excellent Very good Good Fair Poor N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 0.3 Male 4, % ± % ± % ± % ± % ± 0.5 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± 1.3 ^0.3% ± , % ± % ± % ± % ± 1.7 ^0.5% ± , % ± % ± % ± % ± 1.6 *1.4% ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± and older 1, % ± % ± % ± % ± 2.8 *2.5% ± 1.5 HS graduate, GED, or less 1, % ± % ± % ± % ± % ± 1.6 Some college 3, % ± % ± % ± % ± % ± 0.6 Bachelor's degree or higher 7, % ± % ± % ± % ± 0.6 *0.4% ± 0.3 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 0.2 Carver County % ± % ± % ± % ± 2.6 ^0.5% ± 0.9 Dakota County % ± % ± % ± % ± 2.9 ^0.5% ± 0.6 Hennepin County 8, % ± % ± % ± % ± % ± 0.3 Bloomington % ± % ± % ± % ± 3.9 ^1.8% ± 2.2 Minneapolis 3, % ± % ± % ± % ± % ± 0.5 Ramsey County 1, % ± % ± % ± % ± % ± 1.3 Saint Paul % ± % ± % ± % ± 3.4 *2.8% ± 2.1 Suburban Ramsey County % ± % ± % ± % ± 2.7 ^1.8% ± 2.0 Scott County % ± % ± % ± % ± 2.4 ^0.4% ± 0.7 Washington County % ± % ± % ± % ± 1.9 ^0.4% ±

11 Thinking TABLE 2 Overall Health about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good? Size 0 days 1 or 2 days 3 to 7 days 8 to 13 days 14 or more days N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 0.7 Male 4, % ± % ± % ± % ± % ± 1.1 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± and older 1, % ± % ± % ± % ± % ± 3.0 HS graduate, GED, or less 1, % ± % ± % ± % ± % ± 2.8 Some college 3, % ± % ± % ± % ± % ± 1.7 Bachelor's degree or higher 7, % ± % ± % ± % ± % ± 0.7 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 0.7 Carver County % ± % ± % ± 4.3 *2.4% ± % ± 2.8 Dakota County % ± % ± % ± 4.1 *2.9% ± % ± 3.1 Hennepin County 8, % ± % ± % ± % ± % ± 0.7 Bloomington % ± % ± % ± 4.6 *6.1% ± % ± 1.9 Minneapolis 3, % ± % ± % ± % ± % ± 1.4 Ramsey County 1, % ± % ± % ± % ± % ± 2.0 Saint Paul % ± % ± % ± 4.1 *3.4% ± % ± 3.0 Suburban Ramsey County % ± % ± % ± 3.9 *3.6% ± % ± 3.0 Scott County % ± % ± % ± 4.3 *3.7% ± % ± 3.0 Washington County % ± % ± % ± 3.6 *2.9% ± % ±

12 Thinking TABLE 3 Overall Health about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good? Size 0 days 1 or 2 days 3 to 7 days 8 to 13 days 14 or more days N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 0.8 Male 4, % ± % ± % ± % ± % ± 1.2 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± and older 1, % ± % ± % ± % ± % ± 2.4 HS graduate, GED, or less 1, % ± % ± % ± % ± % ± 2.7 Some college 3, % ± % ± % ± % ± % ± 1.9 Bachelor's degree or higher 7, % ± % ± % ± % ± % ± 0.8 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 0.8 Carver County % ± % ± % ± % ± % ± 3.0 Dakota County % ± % ± % ± % ± % ± 3.4 Hennepin County 8, % ± % ± % ± % ± % ± 0.9 Bloomington % ± % ± % ± 4.4 *5.7% ± % ± 2.7 Minneapolis 3, % ± % ± % ± % ± % ± 1.6 Ramsey County 1, % ± % ± % ± % ± % ± 2.2 Saint Paul % ± % ± % ± % ± % ± 3.6 Suburban Ramsey County % ± % ± % ± 4.1 *3.6% ± % ± 3.0 Scott County % ± % ± % ± 4.5 *5.3% ± % ± 3.8 Washington County % ± % ± % ± % ± % ±

13 Total TABLE 4 Overall Health number of unhealthy days during the past 30 days, Including both unhealthy physical health and unhealthy mental health days Size 0 days 1 or 2 days 3 to 7 days 8 to 13 days 14 or more days N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 0.9 Male 4, % ± % ± % ± % ± % ± 1.5 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± and older 1, % ± % ± % ± % ± % ± 3.2 HS graduate, GED, or less 1, % ± % ± % ± % ± % ± 3.4 Some college 3, % ± % ± % ± % ± % ± 2.2 Bachelor's degree or higher 7, % ± % ± % ± % ± % ± 1.0 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 1.0 Carver County % ± % ± % ± % ± % ± 3.7 Dakota County % ± % ± % ± % ± % ± 3.8 Hennepin County 8, % ± % ± % ± % ± % ± 1.0 Bloomington % ± % ± % ± % ± % ± 3.8 Minneapolis 3, % ± % ± % ± % ± % ± 1.9 Ramsey County 1, % ± % ± % ± % ± % ± 2.7 Saint Paul % ± % ± % ± % ± % ± 4.2 Suburban Ramsey County % ± % ± % ± % ± % ± 3.7 Scott County % ± % ± % ± % ± % ± 4.1 Washington County % ± % ± % ± % ± % ±

14 During TABLE 5 Overall Health the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities, such as work, recreation, and taking care of yourself? Size 0 days 1 or 2 days 3 to 7 days 8 to 13 days 14 or more days N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 0.6 Male 4, % ± % ± % ± % ± % ± 1.0 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± 1.7 *1.6% ± % ± , % ± % ± % ± 1.6 *1.5% ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± 1.6 *2.4% ± % ± and older 1, % ± % ± % ± % ± % ± 2.9 HS graduate, GED, or less 1, % ± % ± % ± % ± % ± 2.6 Some college 3, % ± % ± % ± % ± % ± 1.6 Bachelor's degree or higher 7, % ± % ± % ± % ± % ± 0.6 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 0.5 Carver County % ± % ± % ± 2.5 ^1.0% ± 1.0 *3.1% ± 2.1 Dakota County % ± % ± % ± 2.8 ^1.8% ± % ± 2.5 Hennepin County 8, % ± % ± % ± % ± % ± 0.7 Bloomington % ± % ± % ± 2.7 ^3.6% ± 4.4 *3.9% ± 2.4 Minneapolis 3, % ± % ± % ± % ± % ± 1.4 Ramsey County 1, % ± % ± % ± 2.0 *2.1% ± % ± 2.1 Saint Paul % ± % ± % ± 3.2 *2.6% ± % ± 3.6 Suburban Ramsey County % ± % ± % ± 2.6 ^1.5% ± 1.6 *3.8% ± 2.4 Scott County % ± % ± % ± 3.4 ^2.1% ± 2.2 *3.3% ± 2.7 Washington County % ± % ± % ± 2.4 ^0.8% ± 1.1 *3.7% ±

15 Average TABLE 6 Overall Health number of unhealthy days during the past 30 days Unhealthy physical health days Unhealthy mental health days Unhealthy physical and unhealthy mental health days Days when poor health interfered with usual activities N Ave ± 95% C.I. N Ave ± 95% C.I. N Ave ± 95% C.I. N Ave ± 95% C.I. Six County Total 11, ± , ± , ± , ± 0.1 Male 4, ± 0.3 4, ± 0.3 4, ± 0.4 4, ± 0.2 Female 7, ± 0.2 7, ± 0.2 7, ± 0.3 7, ± , ± 0.3 1, ± 0.4 1, ± 0.5 1, ± , ± 0.4 1, ± 0.5 1, ± 0.6 1, ± , ± 0.4 2, ± 0.4 2, ± 0.5 2, ± , ± 0.4 2, ± 0.4 2, ± 0.5 2, ± , ± 0.4 2, ± 0.3 2, ± 0.5 2, ± and older 1, ± 0.7 1, ± 0.5 1, ± 0.8 1, ± 0.6 Education HS graduate, GED, or less 1, ± 0.6 1, ± 0.6 1, ± 0.8 1, ± 0.6 Some college 3, ± 0.4 3, ± 0.4 3, ± 0.5 3, ± 0.4 Bachelor's degree or higher 7, ± 0.2 7, ± 0.2 7, ± 0.2 7, ± 0.1 < 200% of FPL 1, ± 0.6 1, ± 0.7 1, ± 0.8 1, ± % of FPL 9, ± 0.2 9, ± 0.2 9, ± 0.2 9, ± 0.1 Carver County ± ± ± ± 0.4 Dakota County ± ± ± ± 0.5 Hennepin County 8, ± 0.2 8, ± 0.2 8, ± 0.2 8, ± 0.2 Bloomington ± ± ± ± 0.5 Minneapolis 3, ± 0.3 3, ± 0.4 3, ± 0.4 3, ± 0.3 Ramsey County 1, ± 0.5 1, ± 0.5 1, ± 0.6 1, ± 0.4 Saint Paul ± ± ± ± 0.7 Suburban Ramsey County ± ± ± ± 0.5 Scott County ± ± ± ± 0.4 Washington County ± ± ± ±

16 Have Overall Health you ever been told by a doctor or other health professional that you had...? Hypertension, also called high blood pressure TABLE 7 Size N Yes % ± 95% C.I. Six County Total 11, % ± 1.1 Male 4, % ± 1.9 Female 7, % ± , % ± , % ± , % ± , % ± , % ± and older 1, % ± 3.4 HS graduate, GED, or less 1, % ± 3.9 Some college 3, % ± 2.3 Bachelor's degree or higher 7, % ± 1.2 < 200% of FPL 1, % ± % of FPL 9, % ± 1.2 Carver County % ± 4.0 Dakota County % ± 4.5 Hennepin County 8, % ± 1.2 Bloomington % ± 4.8 Minneapolis 3, % ± 1.9 Ramsey County 1, % ± 2.9 Saint Paul % ± 4.3 Suburban Ramsey County % ± 4.0 Scott County % ± 4.3 Washington County % ±

17 Have Overall Health you ever been told by a doctor or other health professional that you had...? Borderline high blood pressure or pre-hypertension TABLE 8 Size N Yes % ± 95% C.I. Six County Total 11, % ± 1.2 Male 4, % ± 2.0 Female 7, % ± , % ± , % ± , % ± , % ± , % ± and older 1, % ± 3.5 HS graduate, GED, or less 1, % ± 3.9 Some college 3, % ± 2.3 Bachelor's degree or higher 6, % ± 1.4 < 200% of FPL 1, % ± % of FPL 9, % ± 1.3 Carver County % ± 4.0 Dakota County % ± 4.5 Hennepin County 8, % ± 1.3 Bloomington % ± 4.8 Minneapolis 3, % ± 2.0 Ramsey County 1, % ± 3.1 Saint Paul % ± 4.7 Suburban Ramsey County % ± 4.3 Scott County % ± 5.0 Washington County % ±

18 Have Overall Health you ever been told by a doctor or other health professional that you had...? Diabetes or sugar disease TABLE 9 Size N Yes % ± 95% C.I. Six County Total 11, % ± 0.7 Male 4, % ± 1.2 Female 7, % ± ,560 ^1.2% ± , % ± , % ± , % ± , % ± and older 1, % ± 2.6 HS graduate, GED, or less 1, % ± 3.1 Some college 3, % ± 1.5 Bachelor's degree or higher 7, % ± 0.8 < 200% of FPL 1, % ± % of FPL 9, % ± 0.7 Carver County % ± 2.2 Dakota County % ± 3.2 Hennepin County 8, % ± 0.7 Bloomington % ± 4.1 Minneapolis 3, % ± 1.4 Ramsey County 1, % ± 2.1 Saint Paul % ± 3.4 Suburban Ramsey County % ± 2.6 Scott County % ± 2.1 Washington County % ±

19 Have Overall Health you ever been told by a doctor or other health professional that you had...? Pre-diabetes or borderline diabetes TABLE 10 Size N Yes % ± 95% C.I. Six County Total 11, % ± 0.8 Male 4, % ± 1.4 Female 7, % ± ,560 *2.6% ± , % ± , % ± , % ± , % ± and older 1, % ± 2.8 HS graduate, GED, or less 1, % ± 3.1 Some college 3, % ± 1.8 Bachelor's degree or higher 6, % ± 1.0 < 200% of FPL 1, % ± % of FPL 9, % ± 0.9 Carver County % ± 2.6 Dakota County % ± 3.7 Hennepin County 8, % ± 0.8 Bloomington % ± 3.1 Minneapolis 3, % ± 1.3 Ramsey County 1, % ± 2.4 Saint Paul % ± 3.9 Suburban Ramsey County % ± 2.9 Scott County % ± 2.9 Washington County % ±

20 Have Overall Health you ever been told by a doctor or other health professional that you had...? High blood cholesterol TABLE 11 Size N Yes % ± 95% C.I. Six County Total 11, % ± 1.2 Male 4, % ± 2.1 Female 7, % ± , % ± , % ± , % ± , % ± , % ± and older 1, % ± 3.4 HS graduate, GED, or less 1, % ± 3.8 Some college 3, % ± 2.5 Bachelor's degree or higher 7, % ± 1.5 < 200% of FPL 1, % ± % of FPL 9, % ± 1.4 Carver County % ± 4.6 Dakota County % ± 4.8 Hennepin County 8, % ± 1.4 Bloomington % ± 5.6 Minneapolis 3, % ± 2.2 Ramsey County 1, % ± 3.2 Saint Paul % ± 4.7 Suburban Ramsey County % ± 4.5 Scott County % ± 4.8 Washington County % ±

21 Have TABLE 12 Overall Health you ever been told by a doctor or other health professional that you had...? Heart attack, angina, stroke Size Heart attack Angina or coronary heart disease Stroke Any of these three N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 0.3 Male 4, % ± % ± % ± % ± 0.6 Female 7, % ± % ± % ± % ± , % ± 0.0 ^0.5% ± % ± 0.0 ^0.5% ± ,589 ^0.2% ± 0.4 *0.8% ± 0.7 ^0.3% ± 0.5 ^0.4% ± , % ± % ± 1.1 *1.3% ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± and older 1, % ± % ± % ± % ± 2.4 HS graduate, GED, or less 1, % ± % ± % ± % ± 2.0 Some college 3, % ± % ± % ± % ± 0.7 Bachelor's degree or higher 7, % ± % ± % ± % ± 0.3 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 0.3 Carver County 601 *3.0% ± % ± 2.2 *2.5% ± 2.0 ^1.9% ± 2.0 Dakota County 525 *3.4% ± % ± 2.6 *3.8% ± 2.2 *1.6% ± 1.5 Hennepin County 8, % ± % ± % ± % ± 0.3 Bloomington % ± % ± 2.4 *2.8% ± 1.8 *1.1% ± 1.0 Minneapolis 3, % ± % ± % ± % ± 0.8 Ramsey County 1, % ± % ± % ± % ± 1.3 Saint Paul 550 *2.8% ± % ± 2.8 *2.3% ± 2.2 *3.2% ± 2.3 Suburban Ramsey County % ± % ± % ± 1.7 *2.4% ± 1.6 Scott County % ± % ± 1.9 *1.9% ± 1.6 *1.6% ± 1.3 Washington County 605 *1.9% ± % ± 1.5 *1.1% ± 1.0 *0.9% ±

22 Have TABLE 13 Overall Health you ever been told by a doctor or other health professional that you had...? Arthritis or rheumatism Among persons aged 25 and older: Yes Among persons aged 55 and older: Yes Among persons aged 65 and older: Yes N % ± 95% C.I. N % ± 95% C.I. N % ± 95% C.I. Six County Total 11, % ± 1.0 6, % ± 1.7 3, % ± 2.2 Male 4, % ± 1.4 2, % ± 2.6 1, % ± 3.6 Female 7, % ± 1.3 4, % ± 2.2 2, % ± , % ± 1.3 N/A N/A , % ± 1.5 N/A N/A , % ± 2.4 N/A N/A , % ± 2.4 2, % ± 2.4 N/A , % ± 2.9 2, % ± 3.0 2, % ± and older 1, % ± 3.4 1, % ± 3.4 1, % ± 3.4 Education HS graduate, GED, or less 1, % ± 4.2 1, % ± % ± 4.9 Some college 3, % ± 2.2 2, % ± 3.1 1, % ± 3.8 Bachelor's degree or higher 7, % ± 1.1 3, % ± 2.3 1, % ± 3.4 < 200% of FPL 1, % ± 2.9 1, % ± % ± % of FPL 9, % ± 1.0 5, % ± 1.9 2, % ± 2.6 Carver County % ± % ± % ± 8.0 Dakota County % ± % ± % ± 8.5 Hennepin County 8, % ± 1.0 4, % ± 1.8 2, % ± 2.3 Bloomington % ± % ± % ± 6.5 Minneapolis 3, % ± 1.7 1, % ± % ± 4.8 Ramsey County 1, % ± % ± % ± 5.7 Saint Paul % ± % ± % ± 9.7 Suburban Ramsey County % ± % ± % ± 6.9 Scott County % ± % ± % ± 8.6 Washington County % ± % ± % ± 7.9 ^ Estimate does not meet criteria for statistical reliability and is suppressed. (Relative Standard Error >50%) 22

23 Have TABLE 14 Overall Health you ever been told by a doctor or other health professional that you had...? Asthma Ever had asthma Currently has asthma N % ± 95% C.I. N % ± 95% C.I. Six County Total 11, % ± , % ± 0.7 Male 4, % ± 1.4 4, % ± 1.0 Female 7, % ± 1.2 7, % ± , % ± 2.5 1, % ± , % ± 2.1 1, % ± , % ± 1.9 2, % ± , % ± 1.9 2, % ± , % ± 2.1 2, % ± and older 1, % ± 1.9 1, % ± 1.7 HS graduate, GED, or less 1, % ± 2.3 1, % ± 1.9 Some college 3, % ± 1.9 3, % ± 1.7 Bachelor's degree or higher 6, % ± 1.1 6, % ± 0.8 < 200% of FPL 1, % ± 2.5 1, % ± % of FPL 9, % ± 1.0 9, % ± 0.8 Carver County % ± % ± 2.5 Dakota County % ± % ± 3.2 Hennepin County 8, % ± 1.0 8, % ± 0.8 Bloomington % ± % ± 4.1 Minneapolis 3, % ± 1.7 3, % ± 1.4 Ramsey County 1, % ± 2.3 1, % ± 2.1 Saint Paul % ± % ± 3.4 Suburban Ramsey County % ± % ± 2.6 Scott County % ± % ± 3.0 Washington County % ± % ±

24 Weight TABLE 15 Overall Health status based on Body Mass Index calculation Size Underweight Normal Overweight Obese N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 1.2 Male 4,174 *1.1% ± % ± % ± % ± 2.0 Female 7, % ± % ± % ± % ± ,528 *1.4% ± % ± % ± % ± ,549 *1.2% ± % ± % ± % ± ,998 *1.5% ± % ± % ± % ± ,727 *1.0% ± % ± % ± % ± ,076 *1.3% ± % ± % ± % ± and older 1,626 *2.6% ± % ± % ± % ± 3.2 HS graduate, GED, or less 1,499 *1.9% ± % ± % ± % ± 3.9 Some college 3,180 *1.5% ± % ± % ± % ± 2.6 Bachelor's degree or higher 6, % ± % ± % ± % ± 1.5 < 200% of FPL 1,888 *2.4% ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 1.3 Carver County 589 ^1.1% ± % ± % ± % ± 4.6 Dakota County 501 ^1.2% ± % ± % ± % ± 4.9 Hennepin County 8, % ± % ± % ± % ± 1.4 Bloomington 602 *1.9% ± % ± % ± % ± 5.8 Minneapolis 3, % ± % ± % ± % ± 2.3 Ramsey County 1,091 *2.2% ± % ± % ± % ± 3.4 Saint Paul 528 ^1.8% ± % ± % ± % ± 5.0 Suburban Ramsey County 563 *2.6% ± % ± % ± % ± 4.6 Scott County 520 ^1.4% ± % ± % ± % ± 5.4 Washington County 583 ^1.0% ± % ± % ± % ±

25 Has TABLE 16 Overall Health a doctor or other health care professional ever told you that you should lose weight? Size Yes, within the past year Yes, more than 1 year ago No N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± 1.3 Male 4, % ± % ± % ± 2.2 Female 7, % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± and older 1, % ± % ± % ± 3.2 HS graduate, GED, or less 1, % ± % ± % ± 4.0 Some college 3, % ± % ± % ± 2.6 Bachelor's degree or higher 7, % ± % ± % ± 1.7 < 200% of FPL 1, % ± % ± % ± % of FPL 9, % ± % ± % ± 1.5 Carver County % ± % ± % ± 4.9 Dakota County % ± % ± % ± 5.0 Hennepin County 8, % ± % ± % ± 1.5 Bloomington % ± % ± % ± 6.0 Minneapolis 3, % ± % ± % ± 2.4 Ramsey County 1, % ± % ± % ± 3.5 Saint Paul % ± % ± % ± 5.0 Suburban Ramsey County % ± % ± % ± 4.9 Scott County % ± % ± % ± 5.3 Washington County % ± % ± % ±

26 Do TABLE 17 Overall Health you consider yourself: Overweight, about the right weight, or underweight? About the Size Overweight right weight Underweight N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± 0.5 Male 4, % ± % ± % ± 0.8 Female 7, % ± % ± % ± , % ± % ± % ± , % ± % ± 3.4 *2.0% ± , % ± % ± 3.1 *1.5% ± , % ± % ± % ± , % ± % ± 2.9 *1.4% ± and older 1, % ± % ± % ± 1.9 HS graduate, GED, or less 1, % ± % ± % ± 1.7 Some college 3, % ± % ± % ± 0.9 Bachelor's degree or higher 7, % ± % ± % ± 0.6 < 200% of FPL 1, % ± % ± % ± % of FPL 9, % ± % ± % ± 0.5 Carver County % ± % ± 5.1 ^2.4% ± 2.6 Dakota County % ± % ± 5.1 *2.9% ± 2.3 Hennepin County 8, % ± % ± % ± 0.5 Bloomington % ± % ± 5.8 *2.1% ± 1.7 Minneapolis 3, % ± % ± % ± 0.7 Ramsey County 1, % ± % ± 3.6 *2.5% ± 1.6 Saint Paul % ± % ± 5.2 ^2.4% ± 2.5 Suburban Ramsey County % ± % ± 5.0 ^2.5% ± 2.6 Scott County % ± % ± 5.4 ^1.6% ± 1.9 Washington County % ± % ± 5.1 ^1.2% ±

27 Are TABLE 18 Overall Health you limited in any activities because of physical, mental, or emotional problems? Among persons aged 25 and older: Yes Among persons aged 55 and older: Yes Among persons aged 65 and older: Yes N % ± 95% C.I. N % ± 95% C.I. N % ± 95% C.I. Six County Total 11, % ± 1.0 6, % ± 1.6 3, % ± 2.2 Male 4, % ± 1.6 2, % ± 2.6 1, % ± 3.6 Female 7, % ± 1.3 4, % ± 2.0 2, % ± , % ± 2.0 N/A N/A , % ± 2.2 N/A N/A , % ± 2.3 N/A N/A , % ± 2.3 2, % ± 2.3 N/A , % ± 2.8 2, % ± 2.8 2, % ± and older 1, % ± 3.5 1, % ± 3.5 1, % ± 3.5 Education HS graduate, GED, or less 1, % ± 4.2 1, % ± % ± 5.0 Some college 3, % ± 2.2 2, % ± 2.8 1, % ± 3.8 Bachelor's degree or higher 7, % ± 1.1 3, % ± 2.2 1, % ± 3.3 < 200% of FPL 1, % ± 3.3 1, % ± % ± % of FPL 9, % ± 1.0 5, % ± 1.8 2, % ± 2.5 Carver County % ± % ± % ± 8.0 Dakota County % ± % ± % ± 8.6 Hennepin County 8, % ± 1.1 4, % ± 1.7 2, % ± 2.2 Bloomington % ± % ± % ± 6.4 Minneapolis 3, % ± 1.8 1, % ± % ± 4.6 Ramsey County 1, % ± % ± % ± 5.7 Saint Paul % ± % ± % ± 9.9 Suburban Ramsey County % ± % ± % ± 6.8 Scott County % ± % ± % ± 8.5 Washington County % ± % ± % ± 8.3 ^ Estimate does not meet criteria for statistical reliability and is suppressed. (Relative Standard Error >50%) 27

28 Because TABLE 19 Overall Health of any impairment or health problem, do you have difficulty getting, keeping or working at a job or business? Among persons aged 25 and older: Yes Among persons aged 55 and older: Yes Among persons aged 65 and older: Yes N % ± 95% C.I. N % ± 95% C.I. N % ± 95% C.I. Six County Total 11, % ± 0.7 6, % ± 1.2 3, % ± 1.6 Male 4, % ± 1.2 2, % ± 1.8 1, % ± 2.7 Female 7, % ± 0.9 3, % ± 1.6 2, % ± , % ± 1.5 N/A N/A , % ± 1.6 N/A N/A , % ± 1.9 N/A N/A , % ± 1.7 2, % ± 1.7 N/A , % ± 2.0 2, % ± 2.0 2, % ± and older 1, % ± 2.6 1, % ± 2.6 1, % ± 2.6 Education HS graduate, GED, or less 1, % ± 3.9 1, % ± % ± 5.1 Some college 3, % ± 1.9 2, % ± 2.3 1, % ± 2.9 Bachelor's degree or higher 6, % ± 0.6 3, % ± 1.1 1, % ± 1.4 < 200% of FPL 1, % ± 3.3 1, % ± % ± % of FPL 9, % ± 0.6 4, % ± 1.0 2, % ± 1.4 Carver County % ± *5.3% ± *5.3% ± 4.8 Dakota County % ± % ± *8.7% ± 6.9 Hennepin County 8, % ± 0.8 4, % ± 1.2 2, % ± 1.5 Bloomington % ± % ± *8.4% ± 5.6 Minneapolis 3, % ± 1.6 1, % ± % ± 3.5 Ramsey County 1, % ± % ± % ± 4.9 Saint Paul % ± % ± % ± 9.8 Suburban Ramsey County % ± % ± % ± 5.1 Scott County % ± % ± *7.4% ± 6.1 Washington County % ± % ± *6.4% ± 5.0 ^ Estimate does not meet criteria for statistical reliability and is suppressed. (Relative Standard Error >50%) 28

29 Because TABLE 20 Overall Health of any impairment or health problem, do you need help from another person with personal care needs such as eating, bathing, dressing, or getting around your house? Among persons aged 55 and older: Yes Among persons aged 65 and older: Yes N % ± 95% C.I. N % ± 95% C.I. Six County Total 6, % ± 0.8 3, % ± 1.2 Male 2, % ± 1.3 1, % ± 1.9 Female 4, % ± 1.0 2, % ± N/A N/A N/A N/A N/A N/A , % ± 1.1 N/A , % ± 1.1 2, % ± and older 1, % ± 2.4 1, % ± 2.4 HS graduate, GED, or less 1, % ± % ± 3.5 Some college 2, % ± 1.2 1, % ± 1.9 Bachelor's degree or higher 3, % ± 1.2 1,759 *3.0% ± 2.0 < 200% of FPL 1, % ± % ± % of FPL 5, % ± 0.7 2, % ± 1.2 Carver County 322 ^0.9% ± ^1.4% ± 3.2 Dakota County 322 ^3.0% ± ^2.5% ± 3.5 Hennepin County 4, % ± 0.7 2, % ± 1.0 Bloomington 434 ^2.5% ± ^3.1% ± 5.2 Minneapolis 1, % ± % ± 2.8 Ramsey County % ± *6.4% ± 4.2 Saint Paul 301 *7.6% ± *10.7% ± 9.4 Suburban Ramsey County 389 ^2.5% ± ^3.3% ± 3.6 Scott County 265 ^2.6% ± ^3.9% ± 4.7 Washington County 367 ^3.4% ± ^7.3% ±

30 Because TABLE 21 Overall Health of any impairment or health problem, do you need help from another person in handling routine needs such as everyday household chores, business, shopping, or getting around for other purposes? Among persons aged 55 and older: Yes Among persons aged 65 and older: Yes N % ± 95% C.I. N % ± 95% C.I. Six County Total 6, % ± 1.1 3, % ± 1.7 Male 2, % ± 1.9 1, % ± 2.9 Female 4, % ± 1.4 2, % ± N/A N/A N/A N/A N/A N/A , % ± 1.5 N/A , % ± 1.8 2, % ± and older 1, % ± 3.1 1, % ± 3.1 HS graduate, GED, or less 1, % ± % ± 4.4 Some college 2, % ± 2.0 1, % ± 3.2 Bachelor's degree or higher 3, % ± 1.4 1, % ± 2.3 < 200% of FPL 1, % ± % ± % of FPL 5, % ± 1.1 2, % ± 1.9 Carver County % ± % ± 6.0 Dakota County % ± *12.4% ± 7.7 Hennepin County 4, % ± 1.0 2, % ± 1.5 Bloomington % ± % ± 5.2 Minneapolis 1, % ± % ± 3.4 Ramsey County % ± % ± 5.2 Saint Paul % ± % ± 10.6 Suburban Ramsey County % ± % ± 5.1 Scott County 265 *4.9% ± *7.0% ± 5.4 Washington County % ± *8.0% ±

31 Metro SHAPE 2014 Access to Health Care

32 Do TABLE 22 Access to Health Care you currently have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medical Assistance, Medicare, Indian Health Services, or any plan through MNSure? Among persons aged 25 and older: Yes Among persons aged 25 to 64: Yes N % ± 95% C.I. N % ± 95% C.I. Six County Total 11, % ± 0.9 8, % ± 1.1 Male 4, % ± 1.4 2, % ± 1.7 Female 7, % ± 1.2 5, % ± , % ± 2.3 1, % ± , % ± 2.3 1, % ± , % ± 2.3 2, % ± , % ± 1.8 2, % ± , % ± 1.1 N/A 75 and older 1, % ± 1.9 N/A HS graduate, GED, or less 1, % ± % ± 4.8 Some college 3, % ± 1.8 2, % ± 2.3 Bachelor's degree or higher 7, % ± 1.1 5, % ± 1.3 < 200% of FPL 1, % ± 3.0 1, % ± % of FPL 9, % ± 1.0 6, % ± 1.1 Carver County % ± % ± 3.8 Dakota County % ± % ± 4.3 Hennepin County 8, % ± 1.1 5, % ± 1.3 Bloomington % ± % ± 6.1 Minneapolis 3, % ± 1.7 2, % ± 1.9 Ramsey County 1, % ± % ± 3.2 Saint Paul % ± % ± 4.7 Suburban Ramsey County % ± % ± 4.6 Scott County % ± % ± 4.7 Washington County % ± % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

33 During TABLE 23 Access to Health Care the past 12 months, did you have health insurance for the entire year, only part of the year, or were you not insured for the entire year? Size Insured the entire year Insured only part of the year Uninsured the entire year N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± 0.4 Male 4, % ± % ± % ± 0.8 Female 7, % ± % ± % ± , % ± % ± % ± , % ± % ± 2.4 *1.5% ± , % ± % ± % ± , % ± % ± % ± , % ± % ± 1.1 ^0.5% ± and older 1, % ± % ± 1.9 ^0.5% ± 0.9 HS graduate, GED, or less 1, % ± % ± % ± 2.3 Some college 3, % ± % ± % ± 1.1 Bachelor's degree or higher 7, % ± % ± % ± 0.5 < 200% of FPL 1, % ± % ± % ± % of FPL 9, % ± % ± % ± 0.4 Carver County % ± % ± 3.1 ^2.1% ± 2.3 Dakota County % ± % ± 3.8 ^1.1% ± 1.4 Hennepin County 8, % ± % ± % ± 0.6 Bloomington % ± % ± 5.3 ^1.5% ± 2.5 Minneapolis 3, % ± % ± % ± 1.4 Ramsey County 1, % ± % ± % ± 1.7 Saint Paul % ± % ± 4.2 *3.6% ± 2.8 Suburban Ramsey County % ± % ± 3.3 ^2.1% ± 2.4 Scott County % ± % ± 4.4 ^1.6% ± 2.0 Washington County % ± % ± 3.4 ^0.9% ± 1.5 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 33

34 During TABLE 24 Access to Health Care the past 12 months how difficult has it been for you and your family to pay for health insurance premiums, co-pays, and deductibles? Size Very difficult Somewhat difficult Not too difficult Not at all difficult Not applicable N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 0.5 Male 4, % ± % ± % ± % ± % ± 0.9 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± and older 1,679 *1.3% ± % ± % ± % ± % ± 1.5 HS graduate, GED, or less 1, % ± % ± % ± % ± % ± 2.2 Some college 3, % ± % ± % ± % ± % ± 1.4 Bachelor's degree or higher 7, % ± % ± % ± % ± % ± 0.6 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 0.4 Carver County % ± % ± % ± % ± 5.1 ^2.4% ± 3.7 Dakota County % ± % ± % ± % ± 5.1 *2.0% ± 1.8 Hennepin County 8, % ± % ± % ± % ± % ± 0.6 Bloomington 634 *4.7% ± % ± % ± % ± 5.8 *2.3% ± 2.0 Minneapolis 3, % ± % ± % ± % ± % ± 1.5 Ramsey County 1, % ± % ± % ± % ± % ± 2.0 Saint Paul % ± % ± % ± % ± % ± 3.4 Suburban Ramsey County % ± % ± % ± % ± 5.0 *3.9% ± 2.6 Scott County % ± % ± % ± % ± 5.4 *1.9% ± 1.4 Washington County 611 *3.3% ± % ± % ± % ± 5.1 *2.5% ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

35 During TABLE 25 Access to Health Care the past 12 months, was there a time you needed medical care? Among persons aged 25 and older: Yes Among persons who needed care: Delayed or did not get the needed care Among persons who delayed or did not get care: Was that due to cost or lack of insurance? N % ± 95% C.I. N % ± 95% C.I. N % ± 95% C.I. Six County Total 11, % ± 1.3 7, % ± 1.4 1, % ± 4.0 Male 4, % ± 2.2 2, % ± % ± 6.8 Female 7, % ± 1.5 5, % ± % ± , % ± 3.3 1, % ± % ± , % ± 3.3 1, % ± % ± , % ± 3.0 1, % ± % ± , % ± 2.6 1, % ± % ± , % ± 2.8 1, % ± % ± and older 1, % ± 3.0 1, % ± ^11.0% ± 12.4 Education HS graduate, GED, or less 1, % ± % ± % ± 13.0 Some college 3, % ± 2.5 2, % ± % ± 6.9 Bachelor's degree or higher 7, % ± 1.7 4, % ± % ± 5.4 < 200% of FPL 1, % ± 3.5 1, % ± % ± % of FPL 9, % ± 1.5 6, % ± % ± 4.7 Carver County % ± % ± % ± 14.3 Dakota County % ± % ± % ± 13.3 Hennepin County 8, % ± 1.5 5, % ± % ± 4.3 Bloomington % ± % ± % ± 17.2 Minneapolis 3, % ± 2.5 2, % ± % ± 6.3 Ramsey County 1, % ± % ± % ± 12.3 Saint Paul % ± % ± % ± 16.6 Suburban Ramsey County % ± % ± % ± 18.5 Scott County % ± % ± % ± 14.9 Washington County % ± % ± % ± 17.1 ^ Estimate does not meet criteria for statistical reliability and is suppressed. (Relative Standard Error >50%) Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 35

36 During TABLE 26 Access to Health Care the past 12 months was there a time when you wanted to talk with or seek help from a health professional about stress, depression, a problem with emotions, excessive worrying, or troubling thoughts? Among persons aged 25 and older: Yes Among persons who needed care: Delayed or did not get the needed care Among persons who delayed or did not get care: Was that due to cost or lack of insurance? N % ± 95% C.I. N % ± 95% C.I. N % ± 95% C.I. Six County Total 11, % ± 1.2 2, % ± 2.9 1, % ± 4.1 Male 4, % ± % ± % ± 7.8 Female 7, % ± 1.5 1, % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± *26.1% ± and older 1, % ± % ± ^8.8% ± 16.0 Education HS graduate, GED, or less 1, % ± % ± % ± 14.6 Some college 3, % ± % ± % ± 7.9 Bachelor's degree or higher 7, % ± 1.5 1, % ± % ± 5.1 < 200% of FPL 1, % ± % ± % ± % of FPL 9, % ± 1.3 2, % ± % ± 4.7 Carver County % ± % ± % ± 13.7 Dakota County % ± % ± % ± 15.5 Hennepin County 8, % ± 1.3 1, % ± % ± 4.7 Bloomington % ± % ± *33.3% ± 20.5 Minneapolis 3, % ± % ± % ± 6.4 Ramsey County 1, % ± % ± % ± 10.7 Saint Paul % ± % ± % ± 13.5 Suburban Ramsey County % ± % ± % ± 17.3 Scott County % ± % ± % ± 15.6 Washington County % ± % ± % ± 16.0 ^ Estimate does not meet criteria for statistical reliability and is suppressed. (Relative Standard Error >50%) 36 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

37 Do TABLE 27 Access to Health Care you have one person you think of as your personal doctor or health care provider? Size Yes, only one person More than one person No, no personal doctor or provider N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± 1.2 Male 4, % ± % ± % ± 2.1 Female 7, % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± and older 1, % ± % ± % ± 1.4 HS graduate, GED, or less 1, % ± % ± % ± 3.8 Some college 3, % ± % ± % ± 2.2 Bachelor's degree or higher 7, % ± % ± % ± 1.6 < 200% of FPL 1, % ± % ± % ± % of FPL 9, % ± % ± % ± 1.3 Carver County % ± % ± % ± 4.4 Dakota County % ± % ± % ± 4.6 Hennepin County 8, % ± % ± % ± 1.4 Bloomington % ± % ± % ± 5.8 Minneapolis 3, % ± % ± % ± 2.4 Ramsey County 1, % ± % ± % ± 3.3 Saint Paul % ± % ± % ± 5.1 Suburban Ramsey County % ± % ± % ± 4.1 Scott County % ± % ± % ± 4.7 Washington County % ± % ± % ± 4.8 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 37

38 When TABLE 28 Access to Health Care you are sick or need medical care, where do you usually go? Size Doctor's office, clinic, public health or community clinic Hospital emergency room Urgent Care Center Clinic located in a drug or grocery store No usual place N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 0.6 Male 4, % ± % ± % ± % ± % ± 1.3 Female 7, % ± % ± % ± % ± % ± , % ± 3.0 ^0.3% ± % ± % ± % ± , % ± 2.9 ^1.2% ± % ± % ± % ± , % ± 2.1 *1.4% ± % ± % ± % ± , % ± 1.9 ^0.9% ± % ± % ± % ± , % ± 2.0 ^0.6% ± % ± 1.1 *0.3% ± % ± and older 1, % ± % ± % ± 1.0 ^0.0% ± 0.2 *0.7% ± 0.6 HS graduate, GED, or less 1, % ± % ± % ± 2.1 *2.2% ± % ± 1.5 Some college 3, % ± 2.0 *1.1% ± % ± % ± % ± 1.3 Bachelor's degree or higher 6, % ± 1.4 *0.4% ± % ± % ± % ± 0.9 < 200% of FPL 1, % ± % ± % ± 2.1 *3.0% ± % ± % of FPL 9, % ± % ± % ± % ± % ± 0.7 Carver County % ± 3.8 ^0.5% ± % ± % ± 2.7 *2.6% ± 2.2 Dakota County % ± 4.0 ^0.3% ± % ± 3.0 *2.2% ± 2.2 *3.3% ± 2.6 Hennepin County 8, % ± % ± % ± % ± % ± 0.8 Bloomington % ± 5.2 ^0.2% ± % ± 3.6 *2.9% ± 2.1 *4.0% ± 3.5 Minneapolis 3, % ± % ± % ± % ± % ± 1.3 Ramsey County 1, % ± 2.9 *1.7% ± % ± 1.7 *2.3% ± % ± 2.0 Saint Paul % ± 4.6 *3.3% ± 3.0 *2.8% ± 2.4 ^2.0% ± % ± 3.4 Suburban Ramsey County % ± 3.9 ^0.1% ± 0.4 *4.2% ± 2.9 ^2.7% ± 2.8 *3.7% ± 2.6 Scott County % ± 4.4 ^0.2% ± % ± 3.3 *4.5% ± 2.9 *3.0% ± 2.8 Washington County % ± 4.0 ^0.1% ± 0.3 ^2.4% ± 2.6 ^2.7% ± 3.0 *3.4% ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

39 Do TABLE 29 Access to Health Care you take any prescription medication on a regular basis, other than birth control pills? Among persons aged 25 and older: Yes Among persons aged 65 and older: Yes N % ± 95% C.I. N % ± 95% C.I. Six County Total 11, % ± 1.4 3, % ± 1.5 Male 4, % ± 2.2 1, % ± 2.6 Female 7, % ± 1.7 2, % ± , % ± 3.0 N/A , % ± 3.2 N/A , % ± 3.1 N/A , % ± 2.5 N/A , % ± 2.2 2, % ± and older 1, % ± 2.0 1, % ± 2.0 HS graduate, GED, or less 1, % ± % ± 3.3 Some college 3, % ± 2.7 1, % ± 2.8 Bachelor's degree or higher 7, % ± 1.7 1, % ± 2.3 < 200% of FPL 1, % ± % ± % of FPL 9, % ± 1.5 2, % ± 1.7 Carver County % ± % ± 6.6 Dakota County % ± % ± 5.4 Hennepin County 8, % ± 1.6 2, % ± 1.6 Bloomington % ± % ± 5.3 Minneapolis 3, % ± % ± 3.5 Ramsey County 1, % ± % ± 4.4 Saint Paul % ± % ± 8.4 Suburban Ramsey County % ± % ± 5.2 Scott County % ± % ± 7.3 Washington County % ± % ± 6.0 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 39

40 During TABLE 30 Access to Health Care the past 12 months, was there any time you skipped doses, took smaller amounts of your prescription, or did not fill a prescription because you could not afford it? Among persons aged 25 and older who regularly take prescription medications: Yes Among persons aged 65 and older who regularly take prescription medications: Yes N % ± 95% C.I. N % ± 95% C.I. Six County Total 6, % ± 1.3 2, % ± 1.3 Male 2, % ± 2.3 1, % ± 1.9 Female 4, % ± 1.5 1, % ± % ± 5.9 N/A % ± 4.7 N/A % ± 3.0 N/A , % ± 2.0 N/A , % ± 1.7 1, % ± and older 1, % ± 2.1 1, % ± 2.1 HS graduate, GED, or less % ± % ± 2.8 Some college 1, % ± % ± 2.9 Bachelor's degree or higher 3, % ± 1.4 1, % ± 1.6 < 200% of FPL 1, % ± % ± % of FPL 4, % ± 1.2 1, % ± 1.2 Carver County 313 *9.0% ± ^2.4% ± 6.3 Dakota County % ± ^6.3% ± 7.0 Hennepin County 4, % ± 1.6 1, % ± 1.6 Bloomington 387 *10.2% ± *6.9% ± 5.1 Minneapolis 1, % ± % ± 4.5 Ramsey County % ± *3.3% ± 2.7 Saint Paul % ± ^2.2% ± 5.2 Suburban Ramsey County % ± *4.0% ± 3.8 Scott County % ± ^7.8% ± 8.3 Washington County 346 *5.6% ± ^2.8% ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

41 During Access to Health Care the past 12 months, have you seen a doctor, nurse, or other health care professional about your own health? TABLE 31 Size N Yes % ± 95% C.I. Six County Total 11, % ± 1.2 Male 4, % ± 2.0 Female 7, % ± , % ± , % ± , % ± , % ± , % ± and older 1, % ± 2.0 HS graduate, GED, or less 1, % ± 4.0 Some college 3, % ± 2.2 Bachelor's degree or higher 7, % ± 1.5 < 200% of FPL 1, % ± % of FPL 9, % ± 1.2 Carver County % ± 4.5 Dakota County % ± 4.3 Hennepin County 8, % ± 1.4 Bloomington % ± 5.3 Minneapolis 3, % ± 2.3 Ramsey County 1, % ± 3.1 Saint Paul % ± 4.8 Suburban Ramsey County % ± 4.2 Scott County % ± 4.7 Washington County % ± 4.8 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 41

42 Did TABLE 32 Access to Health Care the doctor, nurse, or other health professional discuss with you or ask you about your...? Size Among person who have seen a provider for their own health during the past 12 months Physical activity or exercise Diet or nutrition Weight loss or losing weight N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 10, % ± % ± % ± 1.4 Male 3, % ± % ± % ± 2.5 Female 6, % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± and older 1, % ± % ± % ± 2.8 Education HS graduate, GED, or less 1, % ± % ± % ± 4.3 Some college 2, % ± % ± % ± 2.8 Bachelor's degree or higher 6, % ± % ± % ± 1.8 < 200% of FPL 1, % ± % ± % ± % of FPL 8, % ± % ± % ± 1.6 Carver County % ± % ± % ± 5.5 Dakota County % ± % ± % ± 5.4 Hennepin County 7, % ± % ± % ± 1.6 Bloomington % ± % ± % ± 6.6 Minneapolis 2, % ± % ± % ± 2.7 Ramsey County % ± % ± % ± 3.8 Saint Paul % ± % ± % ± 5.6 Suburban Ramsey County % ± % ± % ± 5.3 Scott County % ± % ± % ± 5.8 Washington County % ± % ± % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

43 Did TABLE 33 Access to Health Care the doctor, nurse, or other health professional discuss with you or ask you about your...? Size Among person who have seen a provider for their own health during the past 12 months Smoking or other tobacco use Stress Alcohol use N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 10, % ± % ± % ± 1.5 Male 3, % ± % ± % ± 2.4 Female 6, % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± and older 1, % ± % ± % ± 2.8 Education HS graduate, GED, or less 1, % ± % ± % ± 3.7 Some college 2, % ± % ± % ± 2.8 Bachelor's degree or higher 6, % ± % ± % ± 1.9 < 200% of FPL 1, % ± % ± % ± % of FPL 8, % ± % ± % ± 1.6 Carver County % ± % ± % ± 5.4 Dakota County % ± % ± % ± 5.5 Hennepin County 7, % ± % ± % ± 1.7 Bloomington % ± % ± % ± 6.1 Minneapolis 2, % ± % ± % ± 2.7 Ramsey County % ± % ± % ± 3.9 Saint Paul % ± % ± % ± 5.7 Suburban Ramsey County % ± % ± % ± 5.4 Scott County % ± % ± % ± 5.9 Washington County % ± % ± % ± 5.3 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 43

44 During Access to Health Care the past 12 months, have you seen a psychiatrist, psychologist, therapist, counselor, or other mental health professional for your own health? TABLE 34 Size N Yes % ± 95% C.I. Six County Total 11, % ± 0.9 Male 4, % ± 1.5 Female 7, % ± , % ± , % ± , % ± , % ± , % ± and older 1, % ± 1.7 HS graduate, GED, or less 1, % ± 3.1 Some college 3, % ± 1.9 Bachelor's degree or higher 7, % ± 1.2 < 200% of FPL 1, % ± % of FPL 9, % ± 1.0 Carver County % ± 3.6 Dakota County % ± 3.8 Hennepin County 8, % ± 1.0 Bloomington % ± 3.5 Minneapolis 3, % ± 2.0 Ramsey County 1, % ± 2.9 Saint Paul % ± 4.7 Suburban Ramsey County % ± 3.5 Scott County % ± 3.5 Washington County % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

45 How TABLE 35 Access to Health Care long has it been since your last complete physical exam? Size Within the past year Within the past 2 years Within the past 5 years 5 or more years ago Never N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 0.3 Male 4, % ± % ± % ± % ± % ± 0.5 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± 2.6 *1.0% ± , % ± % ± % ± % ± 2.3 *0.8% ± , % ± % ± % ± % ± 1.6 ^0.8% ± , % ± % ± % ± % ± 1.5 *0.7% ± , % ± % ± % ± % ± 1.6 ^0.5% ± and older 1, % ± % ± % ± % ± 2.0 *0.7% ± 0.7 HS graduate, GED, or less 1, % ± % ± % ± % ± 3.0 *2.0% ± 1.9 Some college 3, % ± % ± % ± % ± 1.6 *0.9% ± 0.5 Bachelor's degree or higher 7, % ± % ± % ± % ± % ± 0.3 < 200% of FPL 1, % ± % ± % ± % ± 2.6 *1.6% ± % of FPL 9, % ± % ± % ± % ± % ± 0.2 Carver County % ± % ± % ± % ± 3.2 ^0.5% ± 1.9 Dakota County % ± % ± % ± % ± 3.5 ^0.2% ± 0.7 Hennepin County 8, % ± % ± % ± % ± % ± 0.5 Bloomington % ± % ± % ± % ± 4.5 ^0.6% ± 0.9 Minneapolis 3, % ± % ± % ± % ± 1.8 *1.3% ± 1.1 Ramsey County 1, % ± % ± % ± % ± 2.6 ^0.5% ± 0.7 Saint Paul % ± % ± % ± % ± 4.1 ^0.5% ± 1.5 Suburban Ramsey County % ± % ± % ± % ± 3.6 ^0.4% ± 0.7 Scott County % ± % ± % ± % ± 3.6 ^0.6% ± 1.5 Washington County % ± % ± % ± % ± 3.0 ^0.9% ± 2.2 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 45

46 About TABLE 36 Access to Health Care how long has it been since you last had your blood cholesterol checked? Size Within the past year Within the past 2 years Within the past 5 years 5 or more years ago Never N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 0.7 Male 4, % ± % ± % ± % ± % ± 1.3 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± 1.2 *0.7% ± and older 1, % ± % ± % ± % ± 1.1 *1.1% ± 0.7 HS graduate, GED, or less 1, % ± % ± % ± % ± % ± 3.1 Some college 3, % ± % ± % ± % ± % ± 1.6 Bachelor's degree or higher 7, % ± % ± % ± % ± % ± 0.9 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 0.7 Carver County % ± % ± % ± % ± 2.9 ^3.6% ± 4.4 Dakota County % ± % ± % ± % ± 3.7 *2.3% ± 2.0 Hennepin County 8, % ± % ± % ± % ± % ± 0.9 Bloomington % ± % ± % ± 2.7 *4.8% ± 3.7 *5.1% ± 3.6 Minneapolis 3, % ± % ± % ± % ± % ± 1.7 Ramsey County 1, % ± % ± % ± % ± % ± 2.5 Saint Paul % ± % ± % ± % ± % ± 4.3 Suburban Ramsey County % ± % ± % ± % ± 2.8 *3.7% ± 2.8 Scott County % ± % ± % ± 3.6 *4.8% ± 3.2 *5.3% ± 3.4 Washington County % ± % ± % ± % ± % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

47 How TABLE 37 Access to Health Care long has it been since you last visited a dentist or dental clinic for any reason? Size Within the past year Within the past 2 years Within the past 5 years 5 or more years ago Never N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 0.4 Male 4, % ± % ± % ± % ± 1.2 *1.2% ± 0.8 Female 7, % ± % ± % ± % ± 0.7 ^0.1% ± , % ± % ± % ± % ± 1.7 ^0.5% ± , % ± % ± % ± % ± 1.9 ^0.5% ± , % ± % ± % ± % ± 1.6 ^1.1% ± , % ± % ± % ± % ± 1.5 ^0.2% ± , % ± % ± % ± % ± 1.6 ^0.5% ± and older 1, % ± % ± % ± % ± 1.9 ^0.8% ± 1.0 HS graduate, GED, or less 1, % ± % ± % ± % ± 3.2 *2.2% ± 2.0 Some college 3, % ± % ± % ± % ± 1.6 ^0.5% ± 0.8 Bachelor's degree or higher 7, % ± % ± % ± % ± 0.7 ^0.4% ± 0.5 < 200% of FPL 1, % ± % ± % ± % ± 2.5 *3.0% ± % of FPL 9, % ± % ± % ± % ± 0.7 ^0.1% ± 0.2 Carver County % ± % ± % ± % ± 2.5 ^0.2% ± 0.5 Dakota County % ± % ± 3.4 *4.7% ± % ± 2.8 ^0.3% ± 1.7 Hennepin County 8, % ± % ± % ± % ± 0.7 *0.6% ± 0.5 Bloomington % ± % ± % ± 2.9 *3.4% ± 2.4 ^0.1% ± 0.5 Minneapolis 3, % ± % ± % ± % ± 1.3 ^0.6% ± 1.0 Ramsey County 1, % ± % ± % ± % ± 2.2 ^1.0% ± 1.3 Saint Paul % ± % ± % ± % ± 3.4 ^1.4% ± 2.1 Suburban Ramsey County % ± % ± % ± % ± 3.3 ^0.7% ± 2.5 Scott County % ± % ± % ± 2.5 *3.9% ± % ± 0.0 Washington County % ± % ± 3.2 *3.9% ± 2.8 *3.5% ± 2.6 ^0.6% ± 2.9 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 47

48 Do Access to Health Care you currently have insurance that pays for all or part of your dental care? TABLE 38 Size N Yes % ± 95% C.I. Six County Total 11, % ± 1.1 Male 4, % ± 1.8 Female 7, % ± , % ± , % ± , % ± , % ± , % ± and older 1, % ± 3.5 HS graduate, GED, or less 1, % ± 3.7 Some college 3, % ± 2.2 Bachelor's degree or higher 7, % ± 1.3 < 200% of FPL 1, % ± % of FPL 9, % ± 1.1 Carver County % ± 3.7 Dakota County % ± 4.2 Hennepin County 8, % ± 1.2 Bloomington % ± 4.0 Minneapolis 3, % ± 2.2 Ramsey County 1, % ± 3.0 Saint Paul % ± 4.6 Suburban Ramsey County % ± 4.1 Scott County % ± 4.3 Washington County % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

49 Metro SHAPE 2014 Healthy Lifestyle and Behaviors

50 Yesterday, Healthy Lifestyle and Behaviors how many servings of vegetables did you eat? A serving of vegetables is a cup of salad greens, or a half cup of any other vegetables, not including french fries. TABLE 39 Size 0 servings 1 serving 2 servings 3 or more servings N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 1.3 Male 4, % ± % ± % ± % ± 2.0 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± and older 1, % ± % ± % ± % ± 3.0 HS graduate, GED, or less 1, % ± % ± % ± % ± 3.5 Some college 3, % ± % ± % ± % ± 2.3 Bachelor's degree or higher 7, % ± % ± % ± % ± 1.7 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 1.4 Carver County % ± % ± % ± % ± 4.4 Dakota County % ± % ± % ± % ± 4.8 Hennepin County 8, % ± % ± % ± % ± 1.5 Bloomington % ± % ± % ± % ± 5.8 Minneapolis 3, % ± % ± % ± % ± 2.4 Ramsey County 1, % ± % ± % ± % ± 3.6 Saint Paul % ± % ± % ± % ± 5.2 Suburban Ramsey County % ± % ± % ± % ± 5.0 Scott County % ± % ± % ± % ± 4.9 Washington County % ± % ± % ± % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

51 Yesterday, Healthy Lifestyle and Behaviors how many servings of fruit did you eat? A serving of fruit is one medium sized fruit, a half cup of chopped, cut, or canned fruit, or 6 ounces of 100% fruit juice. TABLE 40 Size 0 servings 1 serving 2 servings 3 or more servings N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 1.2 Male 4, % ± % ± % ± % ± 1.9 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± and older 1, % ± % ± % ± % ± 2.9 HS graduate, GED, or less 1, % ± % ± % ± % ± 3.4 Some college 3, % ± % ± % ± % ± 2.1 Bachelor's degree or higher 7, % ± % ± % ± % ± 1.5 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 1.3 Carver County % ± % ± % ± % ± 4.6 Dakota County % ± % ± % ± % ± 4.4 Hennepin County 8, % ± % ± % ± % ± 1.4 Bloomington % ± % ± % ± % ± 5.7 Minneapolis 3, % ± % ± % ± % ± 2.3 Ramsey County 1, % ± % ± % ± % ± 3.1 Saint Paul % ± % ± % ± % ± 4.5 Suburban Ramsey County % ± % ± % ± % ± 4.5 Scott County % ± % ± % ± % ± 4.9 Washington County % ± % ± % ± % ± 4.4 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 51

52 Total TABLE 41 Healthy Lifestyle and Behaviors servings of fruit and vegetables consumed yesterday Size 0 servings 1 serving 2 servings 3 or 4 servings 5 or more servings N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 1.3 Male 4, % ± % ± % ± % ± % ± 2.0 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± and older 1, % ± % ± % ± % ± % ± 3.2 HS graduate, GED, or less 1, % ± % ± % ± % ± % ± 3.5 Some college 3, % ± % ± % ± % ± % ± 2.4 Bachelor's degree or higher 7, % ± % ± % ± % ± % ± 1.7 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 1.5 Carver County % ± % ± % ± % ± % ± 4.9 Dakota County 528 *3.6% ± % ± % ± % ± % ± 4.9 Hennepin County 8, % ± % ± % ± % ± % ± 1.5 Bloomington 634 ^4.2% ± % ± % ± % ± % ± 5.8 Minneapolis 3, % ± % ± % ± % ± % ± 2.4 Ramsey County 1, % ± % ± % ± % ± % ± 3.5 Saint Paul % ± % ± % ± % ± % ± 5.1 Suburban Ramsey County % ± % ± % ± % ± % ± 4.9 Scott County % ± % ± % ± % ± % ± 5.1 Washington County 611 *3.5% ± % ± % ± % ± % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

53 In TABLE 42 Healthy Lifestyle and Behaviors a typical week, on how many days do you eat breakfast? Size 0 days 1 or 2 days 3 or 4 days 5 or 6 days 7 days N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 1.4 Male 4, % ± % ± % ± % ± % ± 2.2 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± and older 1, % ± % ± % ± % ± % ± 3.0 HS graduate, GED, or less 1, % ± % ± % ± % ± % ± 3.9 Some college 3, % ± % ± % ± % ± % ± 2.6 Bachelor's degree or higher 7, % ± % ± % ± % ± % ± 1.7 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 1.5 Carver County 604 *2.7% ± % ± % ± % ± % ± 5.3 Dakota County % ± % ± % ± % ± % ± 5.1 Hennepin County 8, % ± % ± % ± % ± % ± 1.6 Bloomington 634 *6.4% ± % ± % ± % ± % ± 6.1 Minneapolis 3, % ± % ± % ± % ± % ± 2.5 Ramsey County 1, % ± % ± % ± % ± % ± 3.7 Saint Paul % ± % ± % ± % ± % ± 5.3 Suburban Ramsey County 595 *3.8% ± % ± % ± % ± % ± 5.0 Scott County % ± % ± % ± % ± % ± 5.4 Washington County 611 *3.6% ± % ± % ± % ± % ± 5.1 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 53

54 About TABLE 43 Healthy Lifestyle and Behaviors how often do you drink...? Pop or soda (regular) Size Never Occasionally but not every week At least once per week but not daily Once per day More than once per day N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 0.6 Male 4, % ± % ± % ± % ± % ± 1.0 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± and older 1, % ± % ± % ± % ± 1.4 *1.2% ± 0.8 HS graduate, GED, or less 1, % ± % ± % ± % ± % ± 2.3 Some college 3, % ± % ± % ± % ± % ± 1.5 Bachelor's degree or higher 6, % ± % ± % ± % ± % ± 0.6 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 0.6 Carver County % ± % ± % ± % ± 3.8 *4.7% ± 2.9 Dakota County % ± % ± % ± % ± 3.4 *2.9% ± 2.6 Hennepin County 8, % ± % ± % ± % ± % ± 0.7 Bloomington % ± % ± % ± 4.2 *8.4% ± 5.8 *2.6% ± 2.4 Minneapolis 3, % ± % ± % ± % ± % ± 1.0 Ramsey County 1, % ± % ± % ± % ± % ± 1.9 Saint Paul % ± % ± % ± % ± % ± 3.0 Suburban Ramsey County % ± % ± % ± % ± 3.1 *4.4% ± 2.9 Scott County % ± % ± % ± % ± % ± 4.0 Washington County % ± % ± % ± % ± 3.6 *2.4% ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

55 About TABLE 44 Healthy Lifestyle and Behaviors how often do you drink...? Pop or soda (diet) Size Never Occasionally but not every week At least once per week but not daily Once per day More than once per day N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 0.7 Male 4, % ± % ± % ± % ± % ± 1.2 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± and older 1, % ± % ± % ± % ± % ± 1.6 HS graduate, GED, or less 1, % ± % ± % ± % ± % ± 2.3 Some college 3, % ± % ± % ± % ± % ± 1.4 Bachelor's degree or higher 7, % ± % ± % ± % ± % ± 0.9 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 0.8 Carver County % ± % ± % ± % ± % ± 3.0 Dakota County % ± % ± % ± % ± % ± 3.5 Hennepin County 8, % ± % ± % ± % ± % ± 0.7 Bloomington % ± % ± % ± % ± % ± 2.5 Minneapolis 3, % ± % ± % ± % ± % ± 1.2 Ramsey County 1, % ± % ± % ± % ± % ± 1.9 Saint Paul % ± % ± % ± % ± % ± 2.8 Suburban Ramsey County % ± % ± % ± % ± % ± 3.0 Scott County % ± % ± % ± % ± % ± 4.0 Washington County % ± % ± % ± % ± % ± 2.4 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 55

56 About TABLE 45 Healthy Lifestyle and Behaviors how often do you drink...? Energy drinks such as Red Bull, 5-hour Energy, or Monster Size Never Occasionally but not every week At least once per week but not daily Once per day More than once per day N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 0.4 *0.3% ± 0.2 Male 4, % ± % ± % ± % ± 0.8 *0.5% ± 0.4 Female 7, % ± % ± % ± 0.5 ^0.3% ± 0.4 ^0.1% ± , % ± % ± % ± 2.0 *1.7% ± 1.6 ^0.1% ± , % ± % ± % ± 1.6 *1.5% ± 1.4 ^0.4% ± , % ± % ± 1.7 *1.5% ± 0.9 ^0.6% ± 0.7 ^0.3% ± , % ± % ± 1.3 *0.6% ± 0.5 ^0.1% ± 0.2 ^0.3% ± , % ± 1.1 *1.1% ± 0.8 ^0.5% ± 1.0 ^0.3% ± 0.5 ^0.1% ± and older 1, % ± 1.2 *1.4% ± 0.9 ^0.3% ± 0.6 ^0.1% ± 0.3 ^0.3% ± 1.7 HS graduate, GED, or less 1, % ± % ± 2.9 *2.5% ± 2.4 ^1.4% ± 2.2 ^0.1% ± 0.3 Some college 3, % ± % ± % ± 1.3 *1.3% ± 1.1 ^0.3% ± 0.5 Bachelor's degree or higher 7, % ± % ± % ± 0.7 *0.6% ± 0.4 ^0.3% ± 0.3 < 200% of FPL 1, % ± % ± 2.5 *3.4% ± 2.1 ^1.4% ± 1.6 ^0.4% ± % of FPL 9, % ± % ± % ± % ± 0.5 ^0.2% ± 0.2 Carver County % ± % ± 4.6 ^2.4% ± % ± 0.0 ^0.2% ± 1.3 Dakota County % ± % ± 3.4 *2.5% ± 2.4 ^0.8% ± 1.8 ^0.4% ± 1.4 Hennepin County 8, % ± % ± % ± 0.7 *0.8% ± 0.6 ^0.2% ± 0.3 Bloomington % ± 5.8 *8.1% ± 6.0 *1.9% ± 1.8 ^0.2% ± % ± 0.0 Minneapolis 3, % ± % ± % ± 1.0 ^1.1% ± 1.4 ^0.2% ± 0.4 Ramsey County 1, % ± % ± 2.5 *1.8% ± 1.6 ^1.3% ± 1.6 ^0.4% ± 0.8 Saint Paul % ± % ± 4.1 ^3.0% ± 3.1 ^1.8% ± 3.0 ^0.9% ± 1.6 Suburban Ramsey County % ± % ± 3.2 ^0.6% ± 1.8 ^0.7% ± % ± 0.0 Scott County % ± 4.3 *6.6% ± 4.0 ^2.3% ± 2.7 ^1.1% ± 1.7 ^0.2% ± 0.7 Washington County % ± % ± 4.2 ^3.2% ± 3.2 ^0.6% ± % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

57 About TABLE 46 Healthy Lifestyle and Behaviors how often do you drink...? Other sugar-sweetened drinks such as sweet tea, coffee drinks, juice drinks, Kool-Aid, or Gatorade Size Never Occasionally but not every week At least once per week but not daily Once per day More than once per day N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 0.6 Male 4, % ± % ± % ± % ± % ± 1.1 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± and older 1, % ± % ± % ± % ± % ± 1.7 HS graduate, GED, or less 1, % ± % ± % ± % ± % ± 2.4 Some college 3, % ± % ± % ± % ± % ± 1.3 Bachelor's degree or higher 7, % ± % ± % ± % ± % ± 0.7 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 0.6 Carver County % ± % ± % ± % ± 3.5 ^3.9% ± 4.1 Dakota County % ± % ± % ± % ± 3.7 *3.2% ± 2.2 Hennepin County 8, % ± % ± % ± % ± % ± 0.8 Bloomington % ± % ± % ± % ± 4.7 *3.9% ± 3.0 Minneapolis 3, % ± % ± % ± % ± % ± 1.4 Ramsey County 1, % ± % ± % ± % ± % ± 1.8 Saint Paul % ± % ± % ± % ± 3.8 *4.6% ± 2.9 Suburban Ramsey County % ± % ± % ± % ± 3.1 *3.6% ± 2.5 Scott County % ± % ± % ± % ± 4.7 *4.8% ± 3.2 Washington County % ± % ± % ± % ± % ± 1.6 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 57

58 About TABLE 47 Healthy Lifestyle and Behaviors how often do you drink...? Water Size Never Occasionally but not every week At least once per week but not daily Once per day More than once per day N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 1.0 Male 4,369 *0.4% ± % ± % ± % ± % ± 1.7 Female 7, % ± % ± % ± % ± % ± ,563 ^0.2% ± 0.3 ^0.3% ± % ± % ± % ± ,592 ^0.1% ± 0.3 ^0.8% ± % ± % ± % ± ,085 ^0.1% ± 0.4 *1.8% ± % ± % ± % ± ,838 *0.5% ± % ± % ± % ± % ± ,180 *0.5% ± 0.5 *2.2% ± % ± % ± % ± and older 1,682 *1.2% ± 1.1 *1.9% ± % ± % ± % ± 2.5 HS graduate, GED, or less 1,551 *1.0% ± % ± % ± % ± % ± 3.3 Some college 3,312 ^0.4% ± % ± % ± % ± % ± 2.2 Bachelor's degree or higher 7,070 *0.2% ± % ± % ± % ± % ± 1.2 < 200% of FPL 1,962 *0.7% ± 0.4 *2.3% ± % ± % ± % ± % of FPL 9,475 *0.2% ± % ± % ± % ± % ± 1.1 Carver County 603 ^0.1% ± 0.4 ^0.5% ± 1.1 *3.3% ± % ± % ± 3.6 Dakota County 528 ^0.2% ± 0.6 ^1.5% ± 1.7 *3.8% ± % ± % ± 4.1 Hennepin County 8, % ± % ± % ± % ± % ± 1.1 Bloomington 636 ^0.7% ± 2.8 ^0.9% ± 1.1 *5.3% ± % ± % ± 5.2 Minneapolis 3,308 *0.5% ± 0.4 *0.9% ± % ± % ± % ± 1.7 Ramsey County 1,148 ^0.3% ± 0.5 *1.5% ± % ± % ± % ± 2.6 Saint Paul 555 ^0.3% ± 1.6 ^1.4% ± 1.8 *2.7% ± % ± % ± 3.7 Suburban Ramsey County 593 ^0.4% ± 0.7 *1.5% ± 1.4 *4.2% ± % ± % ± 3.9 Scott County 545 ^0.2% ± 1.2 ^0.1% ± 0.6 *3.0% ± % ± % ± 4.2 Washington County 609 ^0.2% ± 0.6 ^1.6% ± 2.3 *2.8% ± % ± % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

59 About TABLE 48 Healthy Lifestyle and Behaviors how often do you drink...? Milk Size Never Occasionally but not every week At least once per week but not daily Once per day More than once per day N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 1.0 Male 4, % ± % ± % ± % ± % ± 1.6 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± and older 1, % ± % ± % ± % ± % ± 2.7 HS graduate, GED, or less 1, % ± % ± % ± % ± % ± 2.8 Some college 3, % ± % ± % ± % ± % ± 2.0 Bachelor's degree or higher 7, % ± % ± % ± % ± % ± 1.2 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 1.0 Carver County % ± % ± % ± % ± % ± 4.1 Dakota County % ± % ± % ± % ± % ± 3.9 Hennepin County 8, % ± % ± % ± % ± % ± 1.1 Bloomington % ± % ± % ± % ± % ± 3.9 Minneapolis 3, % ± % ± % ± % ± % ± 1.5 Ramsey County 1, % ± % ± % ± % ± % ± 2.4 Saint Paul % ± % ± % ± % ± % ± 3.2 Suburban Ramsey County % ± % ± % ± % ± % ± 3.9 Scott County % ± % ± % ± % ± % ± 4.6 Washington County % ± % ± % ± % ± % ± 4.1 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 59

60 Nutrition TABLE 49 Healthy Lifestyle and Behaviors and beverage intake summary measures Having 2 servings or more a day of fruit Having 3 servings or more a day of vegetables Having 5 servings or more a day of fruits and vegetables Having sugar-sweetened beverage daily or more often N % ± 95% C.I. N % ± 95% C.I. N % ± 95% C.I. N % ± 95% C.I. Six County Total 11, % ± , % ± , % ± , % ± 1.2 Male 4, % ± 2.2 4, % ± 2.0 4, % ± 2.0 4, % ± 2.1 Female 7, % ± 1.7 7, % ± 1.6 7, % ± 1.7 7, % ± , % ± 3.4 1, % ± 3.3 1, % ± 3.3 1, % ± , % ± 3.4 1, % ± 3.2 1, % ± 3.3 1, % ± , % ± 3.1 2, % ± 2.9 2, % ± 2.9 2, % ± , % ± 2.7 2, % ± 2.5 2, % ± 2.5 2, % ± , % ± 2.9 2, % ± 2.6 2, % ± 2.6 2, % ± and older 1, % ± 3.4 1, % ± 3.0 1, % ± 3.2 1, % ± 2.8 Education HS graduate, GED, or less 1, % ± 3.5 1, % ± 3.5 1, % ± 3.5 1, % ± 4.0 Some college 3, % ± 2.6 3, % ± 2.3 3, % ± 2.4 3, % ± 2.6 Bachelor's degree or higher 7, % ± 1.8 7, % ± 1.7 7, % ± 1.7 6, % ± 1.5 < 200% of FPL 1, % ± 3.6 1, % ± 3.2 1, % ± 3.3 1, % ± % of FPL 9, % ± 1.5 9, % ± 1.4 9, % ± 1.5 9, % ± 1.3 Carver County % ± % ± % ± % ± 5.2 Dakota County % ± % ± % ± % ± 4.6 Hennepin County 8, % ± 1.6 8, % ± 1.5 8, % ± 1.5 8, % ± 1.5 Bloomington % ± % ± % ± % ± 6.2 Minneapolis 3, % ± 2.5 3, % ± 2.4 3, % ± 2.4 3, % ± 2.4 Ramsey County 1, % ± 3.6 1, % ± 3.6 1, % ± 3.5 1, % ± 3.3 Saint Paul % ± % ± % ± % ± 4.9 Suburban Ramsey County % ± % ± % ± % ± 4.6 Scott County % ± % ± % ± % ± 5.5 Washington County % ± % ± % ± % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

61 During Healthy Lifestyle and Behaviors the past 30 days, other than your regular job, did you participate in any physical activity or exercises such as running, calisthenics, golf, gardening, or walking for exercise? TABLE 50 Size N Yes % ± 95% C.I. Six County Total 11, % ± 1.0 Male 4, % ± 1.7 Female 7, % ± , % ± , % ± , % ± , % ± , % ± and older 1, % ± 3.2 HS graduate, GED, or less 1, % ± 3.9 Some college 3, % ± 2.3 Bachelor's degree or higher 7, % ± 1.1 < 200% of FPL 1, % ± % of FPL 9, % ± 1.0 Carver County % ± 4.0 Dakota County % ± 4.3 Hennepin County 8, % ± 1.1 Bloomington % ± 2.9 Minneapolis 3, % ± 2.1 Ramsey County 1, % ± 3.0 Saint Paul % ± 4.6 Suburban Ramsey County % ± 3.9 Scott County % ± 3.8 Washington County % ± 3.3 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 61

62 Level TABLE 51 Healthy Lifestyle and Behaviors of moderate physical activity in a usual week Size Inactive (0-9 minutes per week) Insufficiently active ( minutes per week) Sufficiently active ( minutes per week) Highly active ( 300 minutes per week) N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 1.3 Male 4, % ± % ± % ± % ± 2.2 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± and older 1, % ± % ± % ± % ± 3.2 HS graduate, GED, or less 1, % ± % ± % ± % ± 4.0 Some college 3, % ± % ± % ± % ± 2.6 Bachelor's degree or higher 7, % ± % ± % ± % ± 1.7 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 1.5 Carver County 593 *3.9% ± % ± % ± % ± 5.0 Dakota County % ± % ± % ± % ± 5.0 Hennepin County 8, % ± % ± % ± % ± 1.5 Bloomington 623 *2.0% ± % ± % ± % ± 5.9 Minneapolis 3, % ± % ± % ± % ± 2.5 Ramsey County 1, % ± % ± % ± % ± 3.5 Saint Paul % ± % ± % ± % ± 5.1 Suburban Ramsey County % ± % ± % ± % ± 4.7 Scott County 537 *2.6% ± % ± % ± % ± 5.1 Washington County 602 *1.6% ± % ± % ± % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

63 Would TABLE 52 Healthy Lifestyle and Behaviors you say you get this moderate physical activity at work or outside work? Among person who are at least sufficiently active ( 150 minutes per week) Outside of Size At work work N % ± 95% C.I. % ± 95% C.I. Six County Total 7, % ± % ± 1.4 Male 2, % ± % ± 2.3 Female 4, % ± % ± % ± % ± % ± % ± , % ± % ± , % ± % ± , % ± % ± and older % ± % ± 1.5 HS graduate, GED, or less % ± % ± 5.3 Some college 1, % ± % ± 3.2 Bachelor's degree or higher 4, % ± % ± 1.5 < 200% of FPL 1, % ± % ± % of FPL 5, % ± % ± 1.4 Carver County % ± % ± 5.5 Dakota County % ± % ± 5.6 Hennepin County 5, % ± % ± 1.7 Bloomington % ± % ± 7.1 Minneapolis 2, % ± % ± 2.9 Ramsey County % ± % ± 3.4 Saint Paul % ± % ± 5.5 Suburban Ramsey County % ± % ± 4.5 Scott County % ± % ± 6.6 Washington County % ± % ± 5.5 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 63

64 Level TABLE 53 Healthy Lifestyle and Behaviors of vigorous physical activity in a usual week Size Inactive (0-9 minutes per week) Insufficiently active (10-74 minutes per week) Sufficiently active ( minutes per week) Highly active ( 150 minutes per week) N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 1.3 Male 4, % ± % ± % ± % ± 2.2 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± and older 1, % ± % ± % ± % ± 2.9 HS graduate, GED, or less 1, % ± % ± % ± % ± 4.0 Some college 3, % ± % ± % ± % ± 2.6 Bachelor's degree or higher 7, % ± % ± % ± % ± 1.7 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 1.5 Carver County % ± % ± % ± % ± 5.2 Dakota County % ± % ± % ± % ± 4.9 Hennepin County 8, % ± % ± % ± % ± 1.5 Bloomington % ± % ± % ± % ± 5.2 Minneapolis 3, % ± % ± % ± % ± 2.4 Ramsey County 1, % ± % ± % ± % ± 3.6 Saint Paul % ± % ± % ± % ± 5.3 Suburban Ramsey County % ± % ± % ± % ± 4.9 Scott County % ± % ± % ± % ± 5.0 Washington County % ± % ± % ± % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

65 Would TABLE 54 Healthy Lifestyle and Behaviors you say you get this vigorous physical activity at work or outside work? Among person who are at least sufficiently active ( 75 minutes per week) Outside of Size At work work N % ± 95% C.I. % ± 95% C.I. Six County Total 5, % ± % ± 1.3 Male 2, % ± % ± 2.3 Female 3, % ± % ± % ± % ± % ± % ± , % ± % ± , % ± % ± % ± % ± and older 558 *1.8% ± % ± 1.4 HS graduate, GED, or less % ± % ± 6.4 Some college 1, % ± % ± 3.3 Bachelor's degree or higher 3, % ± % ± 1.2 < 200% of FPL % ± % ± % of FPL 4, % ± % ± 1.3 Carver County % ± % ± 6.6 Dakota County 233 *8.0% ± % ± 5.0 Hennepin County 4, % ± % ± 1.6 Bloomington 302 *8.1% ± % ± 5.9 Minneapolis 1, % ± % ± 2.7 Ramsey County % ± % ± 3.8 Saint Paul 253 *9.9% ± % ± 5.9 Suburban Ramsey County % ± % ± 5.7 Scott County % ± % ± 6.9 Washington County 315 *9.5% ± % ± 5.9 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 65

66 Healthy TABLE 55 Healthy Lifestyle and Behaviors People 2020 physical activity guidelines Engaged in no leisure time physical activity Met the 150 minutes aerobic activity guideline through leisure time Met the 300 minutes aerobic activity guideline through leisure time N % ± 95% C.I. N % ± 95% C.I. N % ± 95% C.I. Six County Total 11, % ± , % ± , % ± 1.4 Male 4, % ± 1.7 4, % ± 2.0 4, % ± 2.2 Female 7, % ± 1.3 7, % ± 1.6 7, % ± , % ± 2.5 1, % ± 3.2 1, % ± , % ± 2.6 1, % ± 3.1 1, % ± , % ± 2.3 2, % ± 2.7 2, % ± , % ± 2.2 2, % ± 2.4 2, % ± , % ± 2.8 2, % ± 2.8 2, % ± and older 1, % ± 3.2 1, % ± 3.5 1, % ± 3.4 Education HS graduate, GED, or less 1, % ± 4.0 1, % ± 4.0 1, % ± 4.0 Some college 3, % ± 2.3 3, % ± 2.5 3, % ± 2.6 Bachelor's degree or higher 7, % ± 1.1 7, % ± 1.5 7, % ± 1.7 < 200% of FPL 1, % ± 3.5 1, % ± 3.6 1, % ± % of FPL 9, % ± 1.0 9, % ± 1.3 9, % ± 1.5 Carver County % ± % ± % ± 5.1 Dakota County % ± % ± % ± 5.1 Hennepin County 8, % ± 1.1 8, % ± 1.4 8, % ± 1.6 Bloomington % ± % ± % ± 5.8 Minneapolis 3, % ± 2.1 3, % ± 2.4 3, % ± 2.5 Ramsey County 1, % ± 3.0 1, % ± 3.3 1, % ± 3.6 Saint Paul % ± % ± % ± 5.2 Suburban Ramsey County % ± % ± % ± 5.0 Scott County % ± % ± % ± 5.3 Washington County % ± % ± % ± 5.1 ^ Estimate does not meet criteria for statistical reliability and is suppressed. (Relative Standard Error >50%) 66 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

67 During TABLE 56 Healthy Lifestyle and Behaviors a typical day how many hours do you do each of the following...? Use a TV to watch shows, movies, videos, or play games Size 0 hours 1 hour 2 hours 3 or more hours N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 1.2 Male 4, % ± % ± % ± % ± 1.9 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± and older 1, % ± % ± % ± % ± 3.4 HS graduate, GED, or less 1, % ± % ± % ± % ± 4.0 Some college 3, % ± % ± % ± % ± 2.5 Bachelor's degree or higher 7, % ± % ± % ± % ± 1.3 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 1.3 Carver County % ± % ± % ± % ± 4.3 Dakota County % ± % ± % ± % ± 4.7 Hennepin County 8, % ± % ± % ± % ± 1.3 Bloomington % ± % ± % ± % ± 5.7 Minneapolis 3, % ± % ± % ± % ± 2.1 Ramsey County 1, % ± % ± % ± % ± 3.2 Saint Paul % ± % ± % ± % ± 4.8 Suburban Ramsey County % ± % ± % ± % ± 4.4 Scott County % ± % ± % ± % ± 4.5 Washington County % ± % ± % ± % ± 4.0 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 67

68 During TABLE 57 Healthy Lifestyle and Behaviors a typical day how many hours do you do each of the following...? Talk, text, or use an app on a phone Size 0 hours 1 hour 2 hours 3 or more hours N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 0.9 Male 4, % ± % ± % ± % ± 1.4 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± and older 1, % ± % ± % ± % ± 0.7 HS graduate, GED, or less 1, % ± % ± % ± % ± 3.0 Some college 3, % ± % ± % ± % ± 1.7 Bachelor's degree or higher 7, % ± % ± % ± % ± 1.1 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 1.0 Carver County % ± % ± % ± % ± 3.9 Dakota County % ± % ± % ± % ± 3.7 Hennepin County 8, % ± % ± % ± % ± 1.1 Bloomington % ± % ± % ± 4.0 *10.4% ± 6.5 Minneapolis 3, % ± % ± % ± % ± 1.7 Ramsey County 1, % ± % ± % ± % ± 2.2 Saint Paul % ± % ± % ± % ± 3.6 Suburban Ramsey County % ± % ± % ± % ± 2.9 Scott County % ± % ± % ± % ± 4.2 Washington County % ± % ± % ± % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

69 During TABLE 58 Healthy Lifestyle and Behaviors a typical day how many hours do you do each of the following...? Computer, laptop, or table for work or enjoyment Size 0 hours 1 hour 2 hours 3 or more hours N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 1.4 Male 4, % ± % ± % ± % ± 2.2 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± and older 1, % ± % ± % ± % ± 1.7 HS graduate, GED, or less 1, % ± % ± % ± % ± 3.5 Some college 3, % ± % ± % ± % ± 2.6 Bachelor's degree or higher 7, % ± % ± % ± % ± 1.7 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 1.5 Carver County % ± % ± % ± % ± 5.1 Dakota County % ± % ± % ± % ± 5.1 Hennepin County 8, % ± % ± % ± % ± 1.6 Bloomington % ± % ± % ± % ± 5.8 Minneapolis 3, % ± % ± % ± % ± 2.5 Ramsey County 1, % ± % ± % ± % ± 3.6 Saint Paul % ± % ± % ± % ± 5.2 Suburban Ramsey County % ± % ± % ± % ± 5.1 Scott County % ± % ± % ± % ± 5.4 Washington County % ± % ± % ± % ± 5.1 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 69

70 Current TABLE 59 Healthy Lifestyle and Behaviors smoking status Size Every day smoker Some days smoker Former smoker Never smoked N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 1.3 Male 4, % ± % ± % ± % ± 2.1 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± and older 1, % ± 1.2 ^1.1% ± % ± % ± 3.4 HS graduate, GED, or less 1, % ± % ± % ± % ± 4.0 Some college 3, % ± % ± % ± % ± 2.6 Bachelor's degree or higher 7, % ± % ± % ± % ± 1.5 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 1.4 Carver County % ± 2.5 ^1.5% ± % ± % ± 4.7 Dakota County % ± 2.7 *2.1% ± % ± % ± 4.8 Hennepin County 8, % ± % ± % ± % ± 1.5 Bloomington 632 ^3.2% ± 3.3 ^3.6% ± % ± % ± 6.0 Minneapolis 3, % ± % ± % ± % ± 2.4 Ramsey County 1, % ± % ± % ± % ± 3.5 Saint Paul % ± 3.5 *3.8% ± % ± % ± 5.2 Suburban Ramsey County % ± 2.3 *2.3% ± % ± % ± 4.8 Scott County 544 *4.4% ± 2.7 ^1.0% ± % ± % ± 4.9 Washington County % ± 2.0 *2.1% ± % ± % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

71 Current Healthy Lifestyle and Behaviors smoking status TABLE 60 Size N Currently smoking % ± 95% C.I. Six County Total 11, % ± 0.8 Male 4, % ± 1.3 Female 7, % ± , % ± , % ± , % ± , % ± , % ± and older 1, % ± 1.5 HS graduate, GED, or less 1, % ± 3.3 Some college 3, % ± 1.9 Bachelor's degree or higher 7, % ± 0.7 < 200% of FPL 1, % ± % of FPL 9, % ± 0.7 Carver County % ± 2.7 Dakota County % ± 3.0 Hennepin County 8, % ± 0.9 Bloomington 632 *6.9% ± 4.6 Minneapolis 3, % ± 1.6 Ramsey County 1, % ± 2.4 Saint Paul % ± 4.0 Suburban Ramsey County % ± 2.9 Scott County % ± 3.0 Washington County % ± 2.4 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 71

72 During Healthy Lifestyle and Behaviors the past 12 months, have you stopped smoking for one day or longer because you were trying to quit smoking? TABLE 61 Size N Among current smokers: Yes % ± 95% C.I. Six County Total % ± 4.9 Male % ± 7.4 Female % ± % ± % ± % ± % ± % ± and older % ± 17.7 HS graduate, GED, or less % ± 10.1 Some college % ± 7.4 Bachelor's degree or higher % ± 8.7 < 200% of FPL % ± % of FPL % ± 6.0 Carver County % ± 19.2 Dakota County % ± 17.0 Hennepin County % ± 5.5 Bloomington % ± 26.5 Minneapolis % ± 6.8 Ramsey County % ± 12.6 Saint Paul % ± 16.1 Suburban Ramsey County % ± 20.1 Scott County < 30 Washington County % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

73 During Healthy Lifestyle and Behaviors the past 12 months have you used other tobacco products such as cigars, pipes, snuff, chewing tobacco, bidis, kreteks, snus, a hookah water pipe, or any other type of tobacco product? TABLE 62 Size N Yes % ± 95% C.I. Six County Total 11, % ± 0.8 Male 4, % ± 1.6 Female 7, % ± , % ± , % ± , % ± , % ± , % ± and older 1,649 *0.7% ± 0.5 HS graduate, GED, or less 1, % ± 2.7 Some college 3, % ± 1.7 Bachelor's degree or higher 7, % ± 1.1 < 200% of FPL 1, % ± % of FPL 9, % ± 0.9 Carver County % ± 3.6 Dakota County % ± 3.2 Hennepin County 8, % ± 1.1 Bloomington 631 *7.1% ± 4.7 Minneapolis 3, % ± 1.9 Ramsey County 1, % ± 2.1 Saint Paul % ± 3.4 Suburban Ramsey County 588 *3.8% ± 2.7 Scott County % ± 4.0 Washington County % ± 3.7 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 73

74 Does Healthy Lifestyle and Behaviors anyone, including yourself, smoke regularly inside your home? TABLE 63 Size N Yes % ± 95% C.I. Six County Total 11, % ± 0.6 Male 4, % ± 1.0 Female 7, % ± , % ± , % ± , % ± , % ± , % ± and older 1,672 *3.6% ± 2.2 HS graduate, GED, or less 1, % ± 3.2 Some college 3, % ± 1.6 Bachelor's degree or higher 7, % ± 0.4 < 200% of FPL 1, % ± % of FPL 9, % ± 0.5 Carver County 602 *2.1% ± 1.8 Dakota County % ± 2.5 Hennepin County 8, % ± 0.7 Bloomington 630 ^3.9% ± 4.3 Minneapolis 3, % ± 1.6 Ramsey County 1, % ± 1.9 Saint Paul % ± 3.2 Suburban Ramsey County % ± 2.0 Scott County 538 *1.8% ± 1.6 Washington County % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

75 In Healthy Lifestyle and Behaviors the past 7 days have you been in a car or other vehicle with someone who was smoking? TABLE 64 Size N Yes % ± 95% C.I. Six County Total 11, % ± 0.8 Male 4, % ± 1.3 Female 7, % ± , % ± , % ± , % ± , % ± , % ± and older 1, % ± 2.0 HS graduate, GED, or less 1, % ± 3.0 Some college 3, % ± 2.0 Bachelor's degree or higher 7, % ± 0.7 < 200% of FPL 1, % ± % of FPL 9, % ± 0.7 Carver County % ± 2.9 Dakota County % ± 2.9 Hennepin County 8, % ± 0.9 Bloomington 635 *6.1% ± 3.8 Minneapolis 3, % ± 1.6 Ramsey County 1, % ± 2.3 Saint Paul % ± 4.0 Suburban Ramsey County % ± 2.5 Scott County % ± 2.9 Washington County % ± 3.1 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 75

76 Current Healthy Lifestyle and Behaviors alcohol use Had at least one drink of any alcoholic beverage on one or more days during the past 30 days TABLE 65 Size N Yes % ± 95% C.I. Six County Total 12, % ± 1.2 Male 4, % ± 1.9 Female 7, % ± , % ± , % ± , % ± , % ± , % ± and older 1, % ± 3.4 HS graduate, GED, or less 1, % ± 3.9 Some college 3, % ± 2.4 Bachelor's degree or higher 7, % ± 1.4 < 200% of FPL 1, % ± % of FPL 9, % ± 1.2 Carver County % ± 3.8 Dakota County % ± 4.4 Hennepin County 8, % ± 1.4 Bloomington % ± 5.7 Minneapolis 3, % ± 2.3 Ramsey County 1, % ± 3.3 Saint Paul % ± 4.8 Suburban Ramsey County % ± 4.8 Scott County % ± 4.4 Washington County % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

77 During TABLE 66 Healthy Lifestyle and Behaviors the past 30 days, on how many days did you have at least one drink of any alcoholic beverage? Size 0 days 1 to 3 days 4 to 9 days 10 to 19 days 20 or more days N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 1.0 Male 4, % ± % ± % ± % ± % ± 1.8 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± and older 1, % ± % ± % ± % ± % ± 2.7 HS graduate, GED, or less 1, % ± % ± % ± % ± % ± 2.5 Some college 3, % ± % ± % ± % ± % ± 2.0 Bachelor's degree or higher 7, % ± % ± % ± % ± % ± 1.4 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 1.2 Carver County % ± % ± % ± % ± % ± 4.3 Dakota County % ± % ± % ± % ± % ± 3.8 Hennepin County 8, % ± % ± % ± % ± % ± 1.2 Bloomington % ± % ± % ± % ± % ± 4.0 Minneapolis 3, % ± % ± % ± % ± % ± 2.0 Ramsey County 1, % ± % ± % ± % ± % ± 3.1 Saint Paul % ± % ± % ± % ± % ± 4.6 Suburban Ramsey County % ± % ± % ± % ± % ± 4.3 Scott County % ± % ± % ± % ± % ± 4.2 Washington County % ± % ± % ± % ± % ± 4.0 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 77

78 During TABLE 67 Healthy Lifestyle and Behaviors the past 30 days, on the days when you drank, about how many drinks did you have on average? Size 0 drinks 1 or 2 drinks 3 or 4 drinks 5 or more drinks N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 0.6 Male 4, % ± % ± % ± % ± 1.1 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± and older 1, % ± % ± % ± 1.9 *1.1% ± 0.7 HS graduate, GED, or less 1, % ± % ± % ± % ± 2.5 Some college 3, % ± % ± % ± % ± 1.4 Bachelor's degree or higher 6, % ± % ± % ± % ± 0.6 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 0.6 Carver County % ± % ± % ± % ± 2.3 Dakota County % ± % ± % ± 3.8 *2.9% ± 2.4 Hennepin County 8, % ± % ± % ± % ± 0.7 Bloomington % ± % ± 6.0 *8.8% ± 5.2 ^0.7% ± 0.9 Minneapolis 3, % ± % ± % ± % ± 1.5 Ramsey County 1, % ± % ± % ± % ± 1.8 Saint Paul % ± % ± % ± 4.0 *4.8% ± 3.2 Suburban Ramsey County % ± % ± % ± 3.6 ^1.7% ± 1.9 Scott County % ± % ± % ± 4.6 ^2.5% ± 3.1 Washington County % ± % ± % ± 4.1 *3.1% ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

79 During TABLE 68 Healthy Lifestyle and Behaviors the past 30 days, on the days when you drank, about how many drinks did you have on average? Among person who are current drinkers Size 1 or 2 drinks 3 or 4 drinks 5 or more drinks N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 8, % ± % ± % ± 0.7 Male 3, % ± % ± % ± 1.4 Female 5, % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± and older % ± % ± 3.1 *1.8% ± 1.2 HS graduate, GED, or less % ± % ± % ± 4.2 Some college 2, % ± % ± % ± 1.9 Bachelor's degree or higher 5, % ± % ± % ± 0.8 < 200% of FPL % ± % ± % ± % of FPL 7, % ± % ± % ± 0.7 Carver County % ± % ± % ± 2.8 Dakota County % ± % ± 4.8 *3.7% ± 3.1 Hennepin County 6, % ± % ± % ± 0.9 Bloomington % ± % ± 6.9 ^1.0% ± 1.2 Minneapolis 2, % ± % ± % ± 1.9 Ramsey County % ± % ± % ± 2.4 Saint Paul % ± % ± 5.2 *6.4% ± 4.2 Suburban Ramsey County % ± % ± 4.8 ^2.4% ± 2.6 Scott County % ± % ± 5.5 ^3.1% ± 3.8 Washington County % ± % ± 4.8 *3.8% ± 2.8 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 79

80 How TABLE 69 Healthy Lifestyle and Behaviors many times have you had 5 or more drinks on one occasion? Among males Size 0 times 1 time 2 times 3 to 5 times 6 or more times N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 4, % ± % ± % ± % ± % ± 1.0 Male 4, % ± % ± % ± % ± % ± 1.0 Female N/A % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± % ± 3.0 *3.8% ± % ± % ± 1.6 *2.1% ± and older % ± 2.0 *2.1% ± 1.6 *1.5% ± 1.4 ^0.5% ± 0.6 *0.9% ± 0.8 HS graduate, GED, or less % ± 6.7 *6.9% ± 4.3 *4.2% ± % ± 5.0 *7.7% ± 5.1 Some college 1, % ± % ± % ± % ± % ± 2.0 Bachelor's degree or higher 2, % ± % ± % ± % ± % ± 1.2 < 200% of FPL % ± % ± 4.4 *6.3% ± % ± % ± % of FPL 3, % ± % ± % ± % ± % ± 1.1 Carver County % ± 8.8 *14.1% ± 8.3 *5.9% ± 4.9 *8.0% ± 5.7 ^5.3% ± 5.5 Dakota County % ± 8.1 *11.6% ± 6.9 ^3.6% ± 4.6 *7.3% ± 6.0 ^3.6% ± 4.9 Hennepin County 3, % ± % ± % ± % ± % ± 1.4 Bloomington % ± 10.8 ^5.6% ± 7.4 ^5.9% ± 10.0 *10.5% ± 9.3 ^0.6% ± 1.3 Minneapolis 1, % ± % ± % ± % ± % ± 2.3 Ramsey County % ± 5.9 *5.8% ± 4.0 *5.9% ± % ± 4.3 *4.7% ± 3.4 Saint Paul % ± 8.9 ^4.9% ± 5.7 ^6.4% ± 6.7 *8.3% ± 7.0 ^5.5% ± 6.1 Suburban Ramsey County % ± 8.3 ^6.6% ± 6.6 ^5.3% ± 6.1 *7.4% ± 6.2 ^3.9% ± 4.2 Scott County % ± % ± 7.6 ^5.4% ± 5.6 *9.4% ± 7.3 ^3.3% ± 4.3 Washington County % ± % ± 7.7 *6.6% ± 6.1 ^4.2% ± 5.4 ^2.3% ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

81 How TABLE 70 Healthy Lifestyle and Behaviors many times have you had 5 or more drinks on one occasion? Among males who are current drinkers Size 0 times 1 time 2 times 3 to 5 times 6 or more times N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 3, % ± % ± % ± % ± % ± 1.3 Male 3, % ± % ± % ± % ± % ± 1.3 Female N/A % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± % ± 2.1 *2.7% ± and older % ± 3.2 *3.4% ± 2.5 *2.3% ± 2.2 ^0.7% ± 1.0 *1.5% ± 1.3 HS graduate, GED, or less % ± % ± 6.9 *7.2% ± % ± 8.0 *13.2% ± 8.2 Some college % ± % ± % ± % ± % ± 2.7 Bachelor's degree or higher 2, % ± % ± % ± % ± % ± 1.5 < 200% of FPL % ± % ± % ± % ± % ± % of FPL 2, % ± % ± % ± % ± % ± 1.3 Carver County % ± % ± 9.5 *7.0% ± 5.8 *9.5% ± 6.7 ^6.3% ± 6.5 Dakota County % ± % ± 8.7 ^4.7% ± 5.9 *9.5% ± 7.6 ^4.7% ± 6.3 Hennepin County 2, % ± % ± % ± % ± % ± 1.7 Bloomington % ± 13.2 ^7.9% ± 10.0 ^8.2% ± 13.3 *14.7% ± 12.2 ^0.8% ± 1.8 Minneapolis % ± % ± % ± % ± % ± 2.8 Ramsey County % ± 7.4 *8.0% ± 5.3 *8.1% ± % ± 5.7 *6.5% ± 4.6 Saint Paul % ± 10.7 ^6.6% ± 7.4 ^8.6% ± 8.6 *11.1% ± 9.0 ^7.3% ± 7.9 Suburban Ramsey County % ± 10.4 *9.5% ± 9.1 ^7.7% ± 8.4 *10.6% ± 8.5 ^5.6% ± 5.9 Scott County % ± % ± 9.1 ^6.6% ± 6.8 *11.6% ± 8.7 ^4.0% ± 5.2 Washington County % ± % ± 9.2 *8.1% ± 7.3 ^5.2% ± 6.5 ^2.8% ± 3.1 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 81

82 How TABLE 71 Healthy Lifestyle and Behaviors many times have you had 4 or more drinks on one occasion? Among females Size 0 times 1 time 2 times 3 to 5 times 6 or more times N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total N/A Male Female N/A N/A N/A N/A N/A N/A N/A 75 and older N/A HS graduate, GED, or less Some college Bachelor's degree or higher N/A N/A N/A < 200% of FPL N/A 200% of FPL N/A Carver County Dakota County Hennepin County Bloomington Minneapolis Ramsey County Saint Paul Suburban Ramsey County Scott County Washington County N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 82 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

83 How TABLE 72 Healthy Lifestyle and Behaviors many times have you had 4 or more drinks on one occasion? Among females who are current drinkers Size 0 times 1 time 2 times 3 to 5 times 6 or more times N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 5, % ± % ± % ± % ± % ± 0.7 Male N/A Female 5, % ± % ± % ± % ± % ± % ± % ± % ± % ± 2.9 *2.8% ± % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± % ± % ± 2.9 *3.3% ± 2.1 *1.9% ± 1.6 ^2.4% ± and older % ± 4.0 *4.0% ± 2.5 ^1.5% ± 1.6 ^1.4% ± 2.1 ^1.7% ± 4.7 HS graduate, GED, or less % ± % ± % ± 4.9 *9.2% ± 6.1 *4.8% ± 4.3 Some college 1, % ± % ± % ± % ± % ± 2.0 Bachelor's degree or higher 3, % ± % ± % ± % ± % ± 0.8 < 200% of FPL % ± % ± % ± % ± 2.8 *6.0% ± % of FPL 4, % ± % ± % ± % ± % ± 0.7 Carver County % ± % ± % ± 4.2 *7.2% ± 5.2 ^2.8% ± 3.4 Dakota County % ± % ± 5.6 ^4.4% ± 4.4 ^3.8% ± 4.6 ^3.6% ± 4.0 Hennepin County 3, % ± % ± % ± % ± % ± 0.7 Bloomington % ± 6.1 *7.3% ± 5.2 ^3.2% ± 3.7 *6.3% ± 4.3 ^0.3% ± 1.9 Minneapolis 1, % ± % ± % ± % ± % ± 1.4 Ramsey County % ± % ± % ± % ± 3.4 *3.7% ± 2.5 Saint Paul % ± % ± 6.9 *8.3% ± % ± 5.8 *4.2% ± 3.7 Suburban Ramsey County % ± 6.9 *9.4% ± 5.6 *5.4% ± 4.4 ^3.3% ± 4.1 ^3.1% ± 4.5 Scott County % ± % ± 7.5 *5.2% ± % ± 4.3 *4.2% ± 3.8 Washington County % ± % ± 4.6 *6.1% ± 4.6 *6.7% ± 5.0 ^2.0% ± 2.7 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 83

84

85 Metro SHAPE 2014 How You Feel

86 Have How You Feel you ever been told by a doctor or other health professional that you have...? Depression TABLE 73 Size N Yes % ± 95% C.I. Six County Total 11, % ± 1.1 Male 4, % ± 1.6 Female 7, % ± , % ± , % ± , % ± , % ± , % ± and older 1, % ± 2.3 HS graduate, GED, or less 1, % ± 3.5 Some college 3, % ± 2.3 Bachelor's degree or higher 7, % ± 1.4 < 200% of FPL 1, % ± % of FPL 9, % ± 1.2 Carver County % ± 4.2 Dakota County % ± 4.2 Hennepin County 8, % ± 1.2 Bloomington % ± 4.5 Minneapolis 3, % ± 2.2 Ramsey County 1, % ± 3.2 Saint Paul % ± 5.0 Suburban Ramsey County % ± 4.1 Scott County % ± 4.5 Washington County % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

87 Are TABLE 74 How You Feel you currently taking any medication that was prescribed for you to treat depression? Among those who ever had depression: Yes Yes N % ± 95% C.I. N % ± 95% C.I. Six County Total 11, % ± 0.8 3, % ± 2.7 Male 4, % ± % ± 5.3 Female 7, % ± 1.2 2, % ± , % ± % ± , % ± % ± , % ± % ± , % ± % ± , % ± % ± and older 1, % ± % ± 8.7 HS graduate, GED, or less 1, % ± % ± 8.0 Some college 3, % ± % ± 5.1 Bachelor's degree or higher 7, % ± 0.9 1, % ± 3.5 < 200% of FPL 1, % ± % ± % of FPL 9, % ± 0.9 2, % ± 3.1 Carver County % ± % ± 11.8 Dakota County % ± % ± 10.8 Hennepin County 8, % ± 0.9 2, % ± 2.9 Bloomington % ± % ± 10.6 Minneapolis 3, % ± 1.5 1, % ± 4.3 Ramsey County 1, % ± % ± 6.8 Saint Paul % ± % ± 8.9 Suburban Ramsey County % ± % ± 10.0 Scott County % ± % ± 10.2 Washington County % ± % ± 11.4 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 87

88 Have How You Feel you ever been told by a doctor or other health professional that you have...? Anxiety TABLE 75 Size N Yes % ± 95% C.I. Six County Total 11, % ± 1.1 Male 4, % ± 1.5 Female 7, % ± , % ± , % ± , % ± , % ± , % ± and older 1, % ± 2.9 HS graduate, GED, or less 1, % ± 3.4 Some college 3, % ± 2.3 Bachelor's degree or higher 6, % ± 1.4 < 200% of FPL 1, % ± % of FPL 9, % ± 1.2 Carver County % ± 3.9 Dakota County % ± 4.2 Hennepin County 8, % ± 1.2 Bloomington % ± 4.4 Minneapolis 3, % ± 2.2 Ramsey County 1, % ± 3.1 Saint Paul % ± 4.8 Suburban Ramsey County % ± 4.1 Scott County % ± 4.6 Washington County % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

89 Are TABLE 76 How You Feel you currently taking any medication that was prescribed for you to treat anxiety? Among those who ever had anxiety: Yes Yes N % ± 95% C.I. N % ± 95% C.I. Six County Total 11, % ± 0.8 2, % ± 2.9 Male 4, % ± % ± 5.6 Female 7, % ± 1.1 1, % ± , % ± % ± , % ± % ± , % ± % ± , % ± % ± , % ± % ± and older 1, % ± % ± 8.9 HS graduate, GED, or less 1, % ± % ± 8.1 Some college 3, % ± % ± 5.4 Bachelor's degree or higher 6, % ± 0.9 1, % ± 3.7 < 200% of FPL 1, % ± % ± % of FPL 9, % ± 0.8 1, % ± 3.2 Carver County % ± % ± 11.3 Dakota County % ± % ± 11.3 Hennepin County 8, % ± 0.9 1, % ± 3.1 Bloomington % ± % ± 10.6 Minneapolis 3, % ± % ± 4.7 Ramsey County 1, % ± % ± 7.4 Saint Paul % ± % ± 10.1 Suburban Ramsey County % ± % ± 10.6 Scott County % ± % ± 10.3 Washington County % ± % ± 11.4 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 89

90 About TABLE 77 How You Feel how often did you feel so sad that nothing could cheer you up? Size None of the time A little of the time Some of the time Most of the time/ All of the time N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 0.4 Male 4, % ± % ± % ± % ± 0.8 Female 7, % ± % ± % ± % ± , % ± % ± % ± 1.9 *1.8% ± , % ± % ± % ± 2.0 *1.8% ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± 1.3 *0.8% ± and older 1, % ± % ± % ± 1.8 *1.4% ± 1.1 HS graduate, GED, or less 1, % ± % ± % ± % ± 2.0 Some college 3, % ± % ± % ± % ± 1.0 Bachelor's degree or higher 7, % ± % ± % ± % ± 0.5 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 0.4 Carver County % ± % ± % ± 2.3 ^0.8% ± 0.9 Dakota County % ± % ± % ± 2.9 ^1.2% ± 1.8 Hennepin County 8, % ± % ± % ± % ± 0.6 Bloomington % ± % ± 5.9 *5.7% ± 3.5 ^1.8% ± 2.3 Minneapolis 3, % ± % ± % ± % ± 1.0 Ramsey County 1, % ± % ± % ± 2.3 *2.5% ± 1.5 Saint Paul % ± % ± % ± 3.8 *3.5% ± 2.8 Suburban Ramsey County % ± % ± % ± 2.9 ^1.5% ± 1.5 Scott County % ± % ± % ± 2.9 ^0.3% ± 0.6 Washington County % ± % ± % ± 2.5 ^0.8% ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

91 About TABLE 78 How You Feel how often did you feel nervous? Size None of the time A little of the time Some of the time Most of the time/ All of the time N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 0.5 Male 4, % ± % ± % ± % ± 0.9 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± 1.7 *0.9% ± and older 1, % ± % ± % ± 2.6 ^1.0% ± 1.0 HS graduate, GED, or less 1, % ± % ± % ± % ± 2.0 Some college 3, % ± % ± % ± % ± 1.1 Bachelor's degree or higher 7, % ± % ± % ± % ± 0.7 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 0.5 Carver County % ± % ± % ± 4.2 *2.7% ± 2.1 Dakota County % ± % ± % ± 4.4 *3.8% ± 2.6 Hennepin County 8, % ± % ± % ± % ± 0.6 Bloomington % ± % ± % ± 3.6 ^2.3% ± 2.3 Minneapolis 3, % ± % ± % ± % ± 1.3 Ramsey County 1, % ± % ± % ± % ± 1.7 Saint Paul % ± % ± % ± % ± 3.0 Suburban Ramsey County % ± % ± % ± 4.0 *2.6% ± 1.9 Scott County % ± % ± % ± 4.0 *4.6% ± 3.1 Washington County % ± % ± % ± 4.4 ^2.3% ± 2.3 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 91

92 About TABLE 79 How You Feel how often did you feel so restless or fidgety that you could not sit still? Size None of the time A little of the time Some of the time Most of the time/ All of the time N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 0.4 Male 4, % ± % ± % ± % ± 0.8 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± 1.3 *0.8% ± and older 1, % ± % ± % ± 1.4 ^0.9% ± 1.0 HS graduate, GED, or less 1, % ± % ± % ± % ± 1.9 Some college 3, % ± % ± % ± % ± 1.0 Bachelor's degree or higher 7, % ± % ± % ± % ± 0.6 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 0.4 Carver County % ± % ± % ± 3.0 ^1.6% ± 1.6 Dakota County % ± % ± % ± 3.6 ^1.4% ± 1.8 Hennepin County 8, % ± % ± % ± % ± 0.5 Bloomington % ± % ± % ± 2.5 ^1.3% ± 2.7 Minneapolis 3, % ± % ± % ± % ± 1.0 Ramsey County 1, % ± % ± % ± % ± 1.6 Saint Paul % ± % ± % ± 3.8 *3.6% ± 3.0 Suburban Ramsey County % ± % ± % ± 3.4 *1.9% ± 1.5 Scott County % ± % ± % ± 3.6 ^3.0% ± 3.1 Washington County % ± % ± % ± 3.2 ^2.3% ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

93 About TABLE 80 How You Feel how often did you feel hopeless? Size None of the time A little of the time Some of the time Most of the time/ All of the time N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 0.4 Male 4, % ± % ± % ± % ± 0.7 Female 7, % ± % ± % ± % ± , % ± % ± % ± 1.8 *2.1% ± , % ± % ± % ± 1.9 *1.5% ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± 0.8 *0.7% ± and older 1, % ± % ± % ± 1.6 *1.2% ± 1.0 HS graduate, GED, or less 1, % ± % ± % ± % ± 1.9 Some college 3, % ± % ± % ± % ± 1.1 Bachelor's degree or higher 7, % ± % ± % ± % ± 0.4 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 0.4 Carver County % ± % ± % ± 2.3 ^0.7% ± 0.9 Dakota County % ± % ± 4.0 *3.0% ± 2.1 ^1.2% ± 1.5 Hennepin County 8, % ± % ± % ± % ± 0.5 Bloomington % ± % ± 4.3 *3.8% ± 3.2 ^1.7% ± 2.2 Minneapolis 3, % ± % ± % ± % ± 1.1 Ramsey County 1, % ± % ± % ± % ± 1.6 Saint Paul % ± % ± % ± 3.4 *3.6% ± 2.9 Suburban Ramsey County % ± % ± % ± 3.1 *2.0% ± 1.9 Scott County % ± % ± 3.7 *5.1% ± 3.1 ^1.5% ± 2.0 Washington County % ± % ± 4.1 *3.9% ± 2.7 ^0.7% ± 1.1 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 93

94 About TABLE 81 How You Feel how often did you feel that everything was an effort? Size None of the time A little of the time Some of the time Most of the time/ All of the time N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 0.7 Male 4, % ± % ± % ± % ± 1.3 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± and older 1, % ± % ± % ± % ± 1.7 HS graduate, GED, or less 1, % ± % ± % ± % ± 2.9 Some college 3, % ± % ± % ± % ± 1.7 Bachelor's degree or higher 7, % ± % ± % ± % ± 0.8 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 0.7 Carver County % ± % ± % ± 3.3 *3.2% ± 3.0 Dakota County % ± % ± % ± % ± 3.0 Hennepin County 8, % ± % ± % ± % ± 0.9 Bloomington % ± % ± % ± 4.4 *3.2% ± 2.9 Minneapolis 3, % ± % ± % ± % ± 1.6 Ramsey County 1, % ± % ± % ± % ± 2.2 Saint Paul % ± % ± % ± % ± 3.7 Suburban Ramsey County % ± % ± % ± 3.5 *4.2% ± 2.8 Scott County % ± % ± % ± 3.3 *3.5% ± 2.5 Washington County % ± % ± % ± 3.2 *2.8% ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

95 About TABLE 82 How You Feel how often did you feel worthless? Size None of the time A little of the time Some of the time Most of the time/ All of the time N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 0.4 Male 4, % ± % ± % ± % ± 0.7 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± 1.9 *1.6% ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± 1.0 *0.8% ± and older 1, % ± % ± % ± 1.2 *1.6% ± 1.1 HS graduate, GED, or less 1, % ± % ± % ± % ± 1.9 Some college 3, % ± % ± % ± % ± 0.9 Bachelor's degree or higher 7, % ± % ± % ± % ± 0.5 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 0.4 Carver County % ± % ± % ± 2.2 *1.2% ± 1.1 Dakota County % ± % ± 4.4 *2.8% ± 2.0 ^1.5% ± 1.8 Hennepin County 8, % ± % ± % ± % ± 0.5 Bloomington % ± % ± 4.9 *4.1% ± 3.1 ^1.5% ± 2.3 Minneapolis 3, % ± % ± % ± % ± 0.9 Ramsey County 1, % ± % ± % ± % ± 1.5 Saint Paul % ± % ± % ± 3.1 *4.5% ± 2.8 Suburban Ramsey County % ± % ± % ± 2.9 *1.6% ± 1.6 Scott County % ± % ± % ± 2.5 ^1.1% ± 1.5 Washington County % ± % ± 3.9 *4.2% ± 2.7 ^0.9% ± 1.1 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 95

96 Experienced How You Feel serious psychological distress during the past 30 days TABLE 83 Size N Yes % ± 95% C.I. Six County Total 11, % ± 0.5 Male 4, % ± 1.0 Female 7, % ± , % ± , % ± , % ± , % ± ,158 *0.8% ± and older 1,659 *1.2% ± 1.1 HS graduate, GED, or less 1, % ± 2.6 Some college 3, % ± 1.2 Bachelor's degree or higher 7, % ± 0.6 < 200% of FPL 1, % ± % of FPL 9, % ± 0.5 Carver County 593 *1.7% ± 1.3 Dakota County 520 *2.1% ± 1.9 Hennepin County 8, % ± 0.7 Bloomington 634 ^1.6% ± 2.3 Minneapolis 3, % ± 1.4 Ramsey County 1, % ± 1.9 Saint Paul % ± 3.5 Suburban Ramsey County 588 *2.0% ± 1.7 Scott County 539 ^1.6% ± 1.7 Washington County 601 ^2.1% ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

97 Metro SHAPE 2014 Social-Environment Factors

98 How TABLE 84 Social-Environment Factors often are you involved in school, community, or neighborhood activities? Size Weekly Monthly Several times a year About once a year/ Less often than yearly Never N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 1.1 Male 4, % ± % ± % ± % ± % ± 1.8 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± and older 1, % ± % ± % ± % ± % ± 3.2 HS graduate, GED, or less 1, % ± % ± % ± % ± % ± 4.0 Some college 3, % ± % ± % ± % ± % ± 2.3 Bachelor's degree or higher 7, % ± % ± % ± % ± % ± 1.2 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 1.1 Carver County % ± % ± % ± % ± % ± 3.8 Dakota County % ± % ± % ± % ± % ± 4.2 Hennepin County 8, % ± % ± % ± % ± % ± 1.2 Bloomington % ± % ± % ± % ± % ± 5.9 Minneapolis 3, % ± % ± % ± % ± % ± 2.1 Ramsey County 1, % ± % ± % ± % ± % ± 3.1 Saint Paul % ± % ± % ± % ± % ± 4.8 Suburban Ramsey County % ± % ± % ± % ± % ± 4.1 Scott County % ± % ± % ± % ± % ± 4.0 Washington County % ± % ± % ± % ± % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

99 How TABLE 85 Social-Environment Factors often do you get together or talk with friends or neighbors? This includes on the phone or online. Size Daily Weekly Monthly Less often than monthly Never N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 0.5 Male 4, % ± % ± % ± % ± % ± 0.7 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± 2.1 *1.9% ± , % ± % ± % ± % ± 2.3 *2.1% ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± 1.9 *0.9% ± and older 1, % ± % ± % ± % ± 2.0 *2.7% ± 2.0 HS graduate, GED, or less 1, % ± % ± % ± % ± % ± 2.1 Some college 3, % ± % ± % ± % ± % ± 1.2 Bachelor's degree or higher 7, % ± % ± % ± % ± % ± 0.5 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 0.5 Carver County % ± % ± % ± % ± 3.0 ^2.3% ± 3.7 Dakota County % ± % ± % ± % ± 3.4 *2.9% ± 2.4 Hennepin County 8, % ± % ± % ± % ± % ± 0.5 Bloomington % ± % ± % ± 4.8 *8.4% ± 5.1 ^2.7% ± 4.8 Minneapolis 3, % ± % ± % ± % ± % ± 1.1 Ramsey County 1, % ± % ± % ± % ± 2.3 *2.4% ± 1.4 Saint Paul % ± % ± % ± % ± 3.6 *3.1% ± 2.3 Suburban Ramsey County % ± % ± % ± % ± 3.3 ^1.7% ± 2.1 Scott County % ± % ± % ± % ± 3.6 *1.9% ± 1.7 Washington County % ± % ± % ± % ± 2.8 ^1.1% ± 1.8 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 99

100 Overall, TABLE 86 Social-Environment Factors how would you rate your neighborhood as a place to walk? Size Very pleasant Somewhat pleasant Not very pleasant Not at all pleasant N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 0.3 Male 4, % ± % ± % ± % ± 0.5 Female 7, % ± % ± % ± % ± , % ± % ± % ± 1.6 *1.1% ± , % ± % ± % ± 1.7 ^0.8% ± , % ± % ± % ± 1.4 *1.0% ± , % ± % ± % ± % ± , % ± % ± % ± 0.7 *0.6% ± and older 1, % ± % ± % ± 1.0 *0.8% ± 0.7 HS graduate, GED, or less 1, % ± % ± % ± % ± 0.8 Some college 3, % ± % ± % ± 1.4 *1.5% ± 0.9 Bachelor's degree or higher 7, % ± % ± % ± % ± 0.2 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 0.3 Carver County % ± % ± 4.3 *1.9% ± 1.9 ^1.2% ± 1.7 Dakota County % ± % ± 4.9 *2.5% ± 1.9 ^1.1% ± 1.8 Hennepin County 8, % ± % ± % ± % ± 0.4 Bloomington % ± % ± 5.8 ^2.4% ± 3.3 ^1.6% ± 6.8 Minneapolis 3, % ± % ± % ± % ± 0.6 Ramsey County 1, % ± % ± % ± 2.0 ^0.6% ± 0.6 Saint Paul % ± % ± % ± 3.4 ^0.3% ± 0.5 Suburban Ramsey County % ± % ± 4.4 *3.7% ± 2.6 ^0.8% ± 1.4 Scott County % ± % ± 5.0 *3.2% ± 3.0 ^0.9% ± 1.0 Washington County % ± % ± 4.4 *3.6% ± 2.8 ^0.1% ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

101 For TABLE 87 Social-Environment Factors walking in your neighborhood, would you say the sidewalks, trails, and walking paths are: Size Very well maintained Somewhat maintained Not very well maintained/ Not at all maintained There are no sidewalks in my neighborhood N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 1.0 Male 4, % ± % ± % ± % ± 1.6 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± and older 1, % ± % ± % ± % ± 2.7 HS graduate, GED, or less 1, % ± % ± % ± % ± 3.0 Some college 3, % ± % ± % ± % ± 2.2 Bachelor's degree or higher 7, % ± % ± % ± % ± 1.3 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 1.1 Carver County % ± % ± 4.6 *4.0% ± % ± 3.5 Dakota County % ± % ± 4.9 *2.4% ± % ± 4.4 Hennepin County 8, % ± % ± % ± % ± 1.1 Bloomington % ± % ± 5.5 *8.3% ± % ± 4.8 Minneapolis 3, % ± % ± % ± 1.6 *0.5% ± 0.4 Ramsey County 1, % ± % ± % ± % ± 2.2 Saint Paul % ± % ± % ± 3.6 *2.1% ± 1.9 Suburban Ramsey County % ± % ± 4.7 *2.6% ± % ± 4.2 Scott County % ± % ± 4.9 ^2.8% ± % ± 4.7 Washington County % ± % ± 4.1 ^1.8% ± % ± 4.7 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 101

102 In TABLE 88 Social-Environment Factors general, how easy is it to safely cross the streets or roads in your neighborhood? Size Very easy Somewhat easy Not very easy Not at all easy N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 0.4 Male 4, % ± % ± % ± % ± 0.6 Female 7, % ± % ± % ± % ± , % ± % ± % ± 1.6 *1.4% ± , % ± % ± % ± 1.7 *2.1% ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± 1.4 ^1.1% ± and older 1, % ± % ± % ± 1.6 *1.6% ± 1.0 HS graduate, GED, or less 1, % ± % ± % ± 2.5 *3.1% ± 1.8 Some college 3, % ± % ± % ± % ± 1.1 Bachelor's degree or higher 7, % ± % ± % ± % ± 0.5 < 200% of FPL 1, % ± % ± % ± 2.1 *2.7% ± % of FPL 9, % ± % ± % ± % ± 0.4 Carver County % ± % ± 4.9 *3.8% ± 2.3 ^2.1% ± 3.3 Dakota County % ± % ± % ± 2.6 *2.7% ± 2.4 Hennepin County 8, % ± % ± % ± % ± 0.4 Bloomington % ± % ± 5.8 *7.2% ± 4.3 *1.1% ± 1.0 Minneapolis 3, % ± % ± % ± 1.4 *1.4% ± 0.9 Ramsey County 1, % ± % ± % ± 1.7 *1.5% ± 1.3 Saint Paul % ± % ± % ± 2.7 ^1.3% ± 2.0 Suburban Ramsey County % ± % ± % ± 2.2 ^1.7% ± 2.2 Scott County % ± % ± 5.4 *2.7% ± 2.0 *1.4% ± 1.2 Washington County % ± % ± 4.9 *3.7% ± 2.4 ^1.3% ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

103 Please TABLE 89 Social-Environment Factors rate the extent to which you agree or disagree. This is a good community to raise children in Size Strongly agree Somewhat agree Somewhat disagree Strongly disagree N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 0.4 Male 4, % ± % ± % ± % ± 0.7 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± 1.7 *1.5% ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± and older 1, % ± % ± % ± 1.5 *1.3% ± 0.8 HS graduate, GED, or less 1, % ± % ± % ± % ± 1.4 Some college 3, % ± % ± % ± % ± 1.1 Bachelor's degree or higher 7, % ± % ± % ± % ± 0.4 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 0.3 Carver County % ± % ± 4.1 ^1.3% ± 1.7 ^0.6% ± 2.1 Dakota County % ± % ± 4.5 *3.3% ± 2.4 ^0.2% ± 0.7 Hennepin County 8, % ± % ± % ± % ± 0.5 Bloomington % ± % ± 5.3 *6.0% ± 5.6 ^0.2% ± 0.4 Minneapolis 3, % ± % ± % ± % ± 1.3 Ramsey County 1, % ± % ± % ± 2.2 *2.6% ± 1.6 Saint Paul % ± % ± % ± 4.0 *4.4% ± 3.0 Suburban Ramsey County % ± % ± 4.8 *2.3% ± 1.6 ^0.8% ± 1.0 Scott County % ± % ± 4.9 ^2.3% ± 2.6 ^0.3% ± 0.6 Washington County % ± % ± 4.1 ^1.2% ± 1.5 ^0.3% ± 0.5 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 103

104 Please TABLE 90 Social-Environment Factors rate the extent to which you agree or disagree. People in this neighborhood are willing to help one another Size Strongly agree Somewhat agree Somewhat disagree Strongly disagree N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 0.4 Male 4, % ± % ± % ± % ± 0.7 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± 2.0 *1.4% ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± and older 1, % ± % ± % ± 1.3 *1.0% ± 0.8 HS graduate, GED, or less 1, % ± % ± % ± % ± 1.9 Some college 3, % ± % ± % ± % ± 1.0 Bachelor's degree or higher 7, % ± % ± % ± % ± 0.4 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 0.3 Carver County % ± % ± 5.0 *3.3% ± 2.6 ^2.6% ± 3.4 Dakota County % ± % ± % ± 3.3 ^1.6% ± 2.0 Hennepin County 8, % ± % ± % ± % ± 0.4 Bloomington % ± % ± 5.8 *7.3% ± 4.6 ^0.6% ± 1.4 Minneapolis 3, % ± % ± % ± % ± 1.0 Ramsey County 1, % ± % ± % ± 2.3 *2.2% ± 1.6 Saint Paul % ± % ± % ± 4.1 *3.1% ± 2.7 Suburban Ramsey County % ± % ± % ± 2.0 ^1.3% ± 2.1 Scott County % ± % ± % ± 4.1 ^0.7% ± 1.8 Washington County % ± % ± % ± 2.6 ^0.7% ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

105 In TABLE 91 Social-Environment Factors general, how safe from crime do you consider your neighborhood to be? Size Very safe Somewhat safe Somewhat unsafe Not at all safe N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 0.4 Male 4, % ± % ± % ± % ± 0.6 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± 1.8 *1.7% ± , % ± % ± % ± % ± , % ± % ± % ± 1.4 *1.7% ± , % ± % ± % ± 1.1 *0.9% ± and older 1, % ± % ± % ± 2.1 ^0.4% ± 0.4 HS graduate, GED, or less 1, % ± % ± % ± % ± 1.9 Some college 3, % ± % ± % ± % ± 1.2 Bachelor's degree or higher 7, % ± % ± % ± % ± 0.3 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 0.3 Carver County % ± % ± 4.6 ^2.2% ± 2.3 ^0.2% ± 0.5 Dakota County % ± % ± 5.0 *3.6% ± 2.6 ^0.3% ± 1.6 Hennepin County 8, % ± % ± % ± % ± 0.5 Bloomington % ± % ± 5.7 ^4.2% ± 4.4 ^1.0% ± 5.1 Minneapolis 3, % ± % ± % ± % ± 1.4 Ramsey County 1, % ± % ± % ± 2.5 *2.7% ± 1.6 Saint Paul % ± % ± % ± 4.3 *4.6% ± 3.1 Suburban Ramsey County % ± % ± % ± 2.2 ^0.6% ± 1.6 Scott County % ± % ± 5.3 *3.4% ± % ± 0.0 Washington County % ± % ± 4.7 *2.6% ± 2.0 ^0.1% ± 0.4 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 105

106 How TABLE 92 Social-Environment Factors often are you in situations where you feel unaccepted because of your race, ethnicity, or culture? Size At least once a week Once or twice a month A few times a year Once a year or less often Never N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± % ± 1.3 Male 4, % ± % ± % ± % ± % ± 2.1 Female 7, % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± , % ± % ± % ± % ± % ± ,176 *0.9% ± 0.6 *1.0% ± % ± % ± % ± and older 1,686 ^0.6% ± 0.8 ^1.6% ± % ± % ± % ± 2.8 HS graduate, GED, or less 1, % ± 1.9 *3.6% ± % ± % ± % ± 4.0 Some college 3, % ± % ± % ± % ± % ± 2.5 Bachelor's degree or higher 7, % ± % ± % ± % ± % ± 1.6 < 200% of FPL 1, % ± % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± % ± 1.4 Carver County 606 ^1.8% ± 3.9 ^0.7% ± 1.1 *4.8% ± % ± % ± 5.0 Dakota County 528 ^1.3% ± 2.0 *3.8% ± % ± % ± % ± 4.8 Hennepin County 8, % ± % ± % ± % ± % ± 1.5 Bloomington 633 ^1.4% ± 2.1 *3.4% ± 3.1 *4.5% ± % ± % ± 6.0 Minneapolis 3, % ± % ± % ± % ± % ± 2.5 Ramsey County 1,149 *2.6% ± % ± % ± % ± % ± 3.6 Saint Paul 555 *3.4% ± 2.7 *6.1% ± % ± % ± % ± 5.3 Suburban Ramsey County 594 ^1.8% ± 2.3 *2.3% ± % ± % ± % ± 4.8 Scott County 540 ^0.8% ± 2.5 ^1.1% ± 2.2 *2.9% ± % ± % ± 5.1 Washington County 608 ^1.0% ± 2.3 ^2.4% ± 2.7 *3.1% ± % ± % ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

107 During TABLE 93 Social-Environment Factors the past 12 months how often did you worry that your food would run out before you had money to buy more? Size Often Sometimes Rarely Never N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± % ± 1.1 Male 4, % ± % ± % ± % ± 1.8 Female 7, % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± , % ± % ± % ± % ± and older 1,704 ^0.7% ± % ± % ± % ± 2.8 HS graduate, GED, or less 1, % ± % ± % ± % ± 4.0 Some college 3, % ± % ± % ± % ± 2.4 Bachelor's degree or higher 7, % ± % ± % ± % ± 1.2 < 200% of FPL 1, % ± % ± % ± % ± % of FPL 9, % ± % ± % ± % ± 1.0 Carver County 607 ^1.6% ± % ± % ± % ± 3.7 Dakota County 527 *1.3% ± % ± % ± % ± 4.3 Hennepin County 8, % ± % ± % ± % ± 1.3 Bloomington 637 ^2.0% ± 2.5 *4.7% ± 4.4 *6.9% ± % ± 5.2 Minneapolis 3, % ± % ± % ± % ± 2.4 Ramsey County 1, % ± % ± % ± % ± 3.3 Saint Paul % ± % ± % ± % ± 5.0 Suburban Ramsey County 595 *2.8% ± % ± % ± % ± 4.3 Scott County 546 *2.3% ± 2.1 *3.0% ± % ± % ± 3.7 Washington County 608 ^1.9% ± 2.1 *3.9% ± % ± % ± 3.5 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 107

108 During Social-Environment Factors the past 12 months, did you miss a rent or mortgage payment because you did not have enough money? TABLE 94 Size N Yes % ± 95% C.I. Six County Total 11, % ± 0.7 Male 4, % ± 1.2 Female 7, % ± , % ± , % ± , % ± , % ± , % ± and older 1,685 ^1.1% ± 1.3 HS graduate, GED, or less 1, % ± 3.4 Some college 3, % ± 1.7 Bachelor's degree or higher 7, % ± 0.7 < 200% of FPL 1, % ± % of FPL 9, % ± 0.6 Carver County 602 *3.3% ± 2.2 Dakota County % ± 2.9 Hennepin County 8, % ± 0.9 Bloomington 635 ^3.5% ± 3.8 Minneapolis 3, % ± 1.9 Ramsey County 1, % ± 2.3 Saint Paul % ± 4.0 Suburban Ramsey County 594 *3.3% ± 2.4 Scott County 544 *4.3% ± 2.9 Washington County 607 *3.2% ± Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

109 How TABLE 95 Social-Environment Factors many times have you moved in the past 2 years? Size 0 times 1 time 2 or more times N % ± 95% C.I. % ± 95% C.I. % ± 95% C.I. Six County Total 11, % ± % ± % ± 0.6 Male 4, % ± % ± % ± 1.1 Female 7, % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± % ± , % ± % ± 1.5 *1.7% ± , % ± % ± 1.9 *1.1% ± and older 1, % ± % ± 2.1 *1.4% ± 1.4 HS graduate, GED, or less 1, % ± % ± 3.2 *4.0% ± 2.4 Some college 3, % ± % ± % ± 1.1 Bachelor's degree or higher 7, % ± % ± % ± 0.8 < 200% of FPL 1, % ± % ± % ± % of FPL 9, % ± % ± % ± 0.6 Carver County % ± % ± 4.5 ^0.7% ± 0.8 Dakota County % ± % ± 4.5 *3.7% ± 2.5 Hennepin County 8, % ± % ± % ± 0.7 Bloomington % ± % ± 5.0 ^1.6% ± 1.7 Minneapolis 3, % ± % ± % ± 1.7 Ramsey County 1, % ± % ± % ± 2.0 Saint Paul % ± % ± 4.9 *5.4% ± 3.4 Suburban Ramsey County % ± % ± 3.9 *2.9% ± 2.7 Scott County % ± % ± 4.4 *5.4% ± 3.9 Washington County % ± % ± 4.0 ^2.3% ± 2.7 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 109

110 Do Social-Environment Factors you think of yourself as... TABLE 96 Size N Gay, lesbian, or homosexual/ Bisexual/ Transgender % ± 95% C.I. Six County Total 10, % ± 0.7 Male 3, % ± 1.2 Female 6, % ± , % ± , % ± , % ± , % ± , % ± and older 1,427 *0.8% ± 0.7 HS graduate, GED, or less 1, % ± 2.1 Some college 2, % ± 1.3 Bachelor's degree or higher 6, % ± 0.9 < 200% of FPL 1, % ± % of FPL 7, % ± 0.8 Carver County 591 ^0.9% ± 1.2 Dakota County N/A Hennepin County 8, % ± 0.8 Bloomington 624 ^2.9% ± 3.2 Minneapolis 3, % ± 1.7 Ramsey County 1, % ± 1.9 Saint Paul % ± 3.4 Suburban Ramsey County 581 *3.5% ± 2.2 Scott County N/A Washington County N/A 110 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

111 Metro SHAPE 2014 Appendices

112 APPENDIX A How to Read the Table This data book presents results for many health indicators from the Metro SHAPE 2014 survey. Most tables in this report include all response options for a particular question in one table. Each table starts with the aggregate six county metro level results followed by gender, age, education, and household income breakdowns for that population whenever possible. Finally, each table concludes with aggregate results for each separate participating county or city. Some tables display results for sub-questions within a single question. These tables only include metro and county/city results. Since each row represents a different question and the number of respondents answering each question may differ, an N is not included in this type of table. In most of the data tables, the title is the actual survey question and is presented as it was asked (e.g., Do you currently have insurance that pays for all or part of your dental care? ). Some tables report results that are calculated from one or more survey questions. The titles for these tables state the content of the data tables without being in question form (e.g., Weight status based on Body Mass Index calculation ). The survey questions used for those calculations and the applicable calculation methods are explained in the Appendix D. All results are reported as percentages (%) with corresponding 95% confi dence intervals (± 95% C.I.). The one exception is Table 6 Average number of unhealthy days during the past 30 days, where the average, or mean, and its corresponding confi dence intervals are reported. In all cases, the number N, listed in the column labeled Size, is the actual number of persons whose responses were included to compute the results. The weighted sample size may be different from the observed sample size. The responses of Don t know or Refused are not included in the calculated percentages as these responses occur very infrequently for most questions. Most questions in Metro SHAPE 2014 were asked of all participants. However, some questions are part of a set (e.g., a series of questions about smoking), and are asked only of pertinent sub-groups among all survey respondents after the lead question. These questions often have a much smaller sample size than other questions. Tables with questions of this type are indicated by the phrase Among persons... When only a small number of respondents answer a question, the sample size may be too small to provide a reliable estimate. Therefore, in this data book, results are not presented when there are fewer than 30 respondents for any particular question. Omissions of this type are indicated by the symbol <30. Most of the data tables in this report are similar to the table shown in Figure 2. Each row on a table corresponds to a defi ned subgroup. The rows provide results for demographic subgroups including gender, education, age and household income. For gender the categories are male and female. For the data on age, categories include: 25-34, 35-44, 45-54, 55-64, 65-74, and 75 and older. For education, categories include: High School graduate, GED, or less; some college; Bachelor s degree or higher. The data presented on household income are separated into two categories, those below 200% of the Federal Poverty Level and those greater than or equal to 200% of the Federal Poverty Level. The columns on a table show the sample size (number of cases, or N) within each subgroup, and the percentage of respondents within that population who gave a particular response to the question being presented in that table. The percentage of respondents giving a particular response is listed as a pair of numbers, % ± 95% C.I. These numbers should be interpreted in the following way: % is the percentage of respondents in the sample from that group who gave that particular response to the question. 95% C.I. is the number of percentage points that should be added to, or subtracted from, the percentage to obtain the upper and lower limits of the 95% confidence interval for the percentage. 112 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program

113 Figure 2: Six County Total Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program 113

114 For example, in Figure 2, in the column labeled Response 2 and the row for Scott County in the Suburban Areas section, the percentage equals 42.5% and the 95% C.I equals 4.9%. Therefore, the 95% confi dence interval is 37.6% (or 42.5% - 4.9%) to 47.4% (or 42.5% + 4.9%). Please note that the sample size, or N, presented in the table is the actual number of respondents for that particular subgroup, while the % and the 95% C.I. are weighted results. The weighted sample size may be different from the observed sample size. For more information, please refer to Appendix D. Calculation of results not presented in the tables The Methodology section provides detailed information on the weighting. It is important to note that data that are not provided in a table cannot be calculated from the data provided in the table. The reader may think that data that are not presented in the table may be derived from the data provided. For example, readers may attempt to use specifi c calculations to obtain estimates combining geographic areas, for example Bloomington and Minneapolis. For Metro SHAPE 2014 data, such a practice is methodologically incorrect and must not be attempted for the following reasons: All percentages and corresponding 95% confi - dence intervals are based on weighted results, and different weights were used for different estimates. The sample sizes provided were the actual numbers of survey respondents and are not weighted sample sizes. reliability of an estimate from Metro SHAPE 2014, and can also be used to see if the difference in the estimates between groups is statistically signifi cant or not. However, there are also limitations in the use of these confi dence intervals in the Metro SHAPE 2014 data. Both the uses and the limitations of confi dence intervals are discussed below. In addition to confi dence intervals (described above), relative standard error (RSE) is also calculated for every estimate. Like the confi dence intervals, RSE is a measure of data reliability, and is used in this data book to fl ag point estimates that have a high degree of sampling error, to advise users to use data with caution. If an estimate has a RSE value of greater than 30 percent but less than or equal to 50 percent, it is fl agged with an asterisk (*) indicating the estimate is potentially unreliable and should be used with caution. If an estimate has a RSE value greater than 50%, it is fl agged with a caret (^) indicating the estimate is highly unreliable. Uses of Confidence Intervals One common use of the confi dence interval is to determine the reliability of an estimate from Metro SHAPE A wider confi dence interval indicates a less reliable estimate. To continue the example from above, the confi dence intervals for Response 2 for Carver County, Hennepin County, and Scott County from Figure 2 are depicted in Figure 3. Figure 3: Percentage and confidence intervals for response 2 among selected geographic areas Confidence Intervals and Relative Standard Error A confi dence interval (C.I.) is sometimes called the margin of error. A 95% confi dence interval can be interpreted as follows: if the survey was conducted many times, 95 times out of 100, the estimate for the actual percentage (%) would fall within the range % ± 95% C.I. In the example above, this means that 95 times out of 100, the percentage for Response 2 for Scott County would be 42.5% ± 4.9% (between 37.6% to 47.4%). Confi dence intervals can be used to determine the 114 Metro SHAPE 2014 Adult Survey: A project funded in part by the Minnesota Statewide Health Improvement Program